Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 50.007130RX | OH |
NPI | 1124797840 |
---|---|
Provider Name | Rachel Raber |
First Address | Dover, OH 44622-3005 |
Second Address | Dover, OH 44622-3005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2021 |
Last Update Date | 07/09/2021 |