Doctor Name: | MR. BRUCE CORWYN RAFFEL |
NPI Number: | 1023029469 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD17817 |
Business Practice Address: | 100 Lantana Rd Suite 202 Crossville, TN - 385551903 |
Business Phone Number: | 9314845141 |
Business Fax Number: | 9314845620 |
Mailing Address: | 100 Lantana Rd, Suite 202 CROSSVILLE |
State: | TN |
Postal Code: | 385551903 |
Phone Number: | 9314845141 |
Fax Number: | 9314845620 |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 12/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | MD17817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |