Individual
DR. JOSEPH CHARLES RAKESTRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1500 SOUTHWEST BLVD STE D, JEFFERSON CITY, MO 65109-2472
(573) 635-6350
(573) 635-9049
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 882-1760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
106237
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248012114
—
MO
05
—
248012122
—
MO
Enumeration date
06/09/2005
Last updated
09/17/2024
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