Leonardo Rauch PA-C

NPI 1730124595 - Physician Assistant - 363A00000X

NPI Details
NPI 1730124595
Gender Male
Enumeration Date 06/17/2006
Last Updated 01/18/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1705 E 19TH ST
STE 302
TULSA OK, 74104-5405, US
Phone (918) 748-7692
Fax (918) 748-7539
Business Location
TULSA OK, 74115-4957, US
Phone (918) 832-6049
Fax (918) 832-6055
Taxonomy Code 363A00000X
License State Oklahoma
License Number 1733
Remove 1730124595 NPI Number

According to our database, Mr. Leonardo Rauch PA-C NPI is 1730124595, taxonomy code is 363A00000X and license number is 1733, license state is located at Oklahoma. Leonardo Rauch PA-C physically located at 1705 E 19th St, Tulsa OK, 74104-5405. NPI Number Leonardo Rauch PA-C has the Individual type.

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1730124595 NPI number is provided on an as is basis without warranty of any kind. 1730124595 is maintained by the National Plan & Provider Enumeration System. The contents of Leonardo Rauch PA-C are for informational purposes only.