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Individual

DR. JEFFREY S RASCH

Active
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Individual

DR. JEFFREY S RASCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
57672501204
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
59970
MN
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
11792
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000093458
BCBS OF MONTANA
MT
05
0143327
UT
05
100506339
UT
05
121126900
UT
01
57672501200001
BCBS GRP 22
UT
05
807165900
UT
01
84422
PEHP GRP 22
UT
01
90080
U HEALTH PLANS GRP22
UT
01
903343
DMBA GRP 22
UT
05
D6127
UT
01
QM0000025083
ALTIUS GRP 22
UT
Enumeration date
05/17/2006
Last updated
04/10/2025
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