Organization
LEO J RASCHBAUM MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEOPOLD JOSEPH RASCHBAUM MD (OWNER)
(505) 589-3022
Entity
Organization
Contact information
Practice address
5690 SANTA TERESITA, BUILDING A, SUITE 4, SANTA TERESA, NM 88008
(505) 589-3022
(505) 589-3021
Mailing address
1074 COUNTRY CLUB RD, BUILDING A, SUITE 4, SANTA TERESA, NM 88008-9757
(505) 589-3022
(505) 589-3021
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
8588
NM
Other
Enumeration date
09/20/2006
Last updated
06/25/2008
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