Organization
KRISTIN A RAUCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN A RAUCH MD (PRESIDENT)
(406) 728-4292
Entity
Organization
Contact information
Practice address
2825 FORT MISSOULA RD, 115, MISSOULA, MT 59804-7420
(406) 728-4292
(406) 728-5770
Mailing address
2825 FORT MISSOULA RD, 115, MISSOULA, MT 59804-7420
(406) 728-4292
(406) 728-5770
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
6338
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096350
BCBS OF MT
MT
05
—
0100711
—
MT
Enumeration date
01/08/2008
Last updated
05/25/2012
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