Doctor Name: | TODD RASMUSSEN |
NPI Number: | 1093725707 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD455889 |
Business Practice Address: | 2200 Bergquist Dr Suite 1 Lackland A F B, TX - 782369907 |
Business Phone Number: | 2102925932 |
Business Fax Number: | |
Mailing Address: | 2200 Bergquist Dr, Suite 1 LACKLAND A F B |
State: | TX |
Postal Code: | 782369907 |
Phone Number: | 2102925932 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 04/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | MD455889 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |