Doctor Name: | JAMES D. RAQUE |
NPI Number: | 1043222334 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 42012 |
Business Practice Address: | 149 North Street Waterville, ME - 049014974 |
Business Phone Number: | 2078730729 |
Business Fax Number: | 2078734338 |
Mailing Address: | Po Box 766, WATERVILLE |
State: | ME |
Postal Code: | 049010766 |
Phone Number: | 2078730729 |
Fax Number: | 2078734338 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 08/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0204X |
License Number: | 42012 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Vascular & Interventional Radiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |