Doctor Name: | ROGER STEVEN RACZ |
NPI Number: | 1063697928 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | DPM.200037 |
Business Practice Address: | 101 3rd Ave Sw Minot, ND - 587013880 |
Business Phone Number: | 7018573584 |
Business Fax Number: | 7018573566 |
Mailing Address: | Po Box 5010, MINOT |
State: | ND |
Postal Code: | 587025010 |
Phone Number: | 7018575650 |
Fax Number: | 7018575031 |
NPI Enumeration Date: | 01/09/2008 |
NPI Last Update Date: | 02/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | DPM.200037 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |