Individual
DR. RALPH G LARAISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
336 CHARDONNAY AVE STE A, PROSSER, WA 99350-9515
(509) 786-1576
(509) 788-6013
Mailing address
723 MEMORIAL ST, PROSSER, WA 99350-1524
(509) 786-1576
(509) 788-6013
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2011032951
MO
208100000X
Physical Medicine & Rehabilitation Physician
235585
NY
208100000X
Physical Medicine & Rehabilitation Physician
34.11223
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OP60722041
WA
Other
Enumeration date
06/15/2005
Last updated
08/26/2024
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