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Individual

BRIAN S. RAFFERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 WALNUT ST, TRAER, IA 50675-1142
(319) 478-8198
(319) 478-2933
Mailing address
2101 KIMBALL AVE, LL14, WATERLOO, IA 50702-5063
(319) 272-1590
(319) 272-1535

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29544
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0102434
IA
Enumeration date
05/26/2006
Last updated
07/16/2007
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