Individual
ROBERT CRAIG RATCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4228A
WY
208600000X
Surgery Physician
Primary
56354
CO
208C00000X
Colon & Rectal Surgery Physician
4228A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107011800
—
WY
01
—
312911
BLUE CROSS BLUE SHIELD
WY
Enumeration date
09/21/2005
Last updated
02/06/2020
Update your record
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