Brian Rauch, D.O.
Family Medicine in Jbphh, HI. Individual provider (NPI-1).
NPI number1194090589
StatusActive
Last updated in NPPESSep 18, 2023
Details
- NPI
- 1194090589
- Entity type
- Individual (NPI-1)
- Name
- Brian Rauch
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2012
- Certification date
- Sep 18, 2023
- Last updated
- Sep 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS12760 | FL | Yes |
| 207Q00000X | Family Medicine | UO2760 | FL |
Practice location
755 Scott CirJbphh, HI 96853-5399
Phone 888-683-2778
Mailing address
755 Scott CirJbphh, HI 96853-5399
Phone 888-683-2778
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