Individual
DR. WILLIAM RICHARD RAFFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5597
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A80608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A80608
MEDICAL LICENSE
CA
Enumeration date
12/07/2005
Last updated
12/02/2011
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