Individual
DR. RAFAL PROBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-3361
Mailing address
3005 GOVERNOR MECHEM RD, SANTA FE, NM 87505-6443
(518) 366-8266
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
251300
NY
207L00000X
Anesthesiology Physician
25MA09170600
NJ
207L00000X
Anesthesiology Physician
Primary
MD2016-0079
NM
207L00000X
Anesthesiology Physician
P3063
TX
Other
Enumeration date
09/25/2008
Last updated
10/09/2024
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