Doctor Name: | ERIC W RAWIE |
NPI Number: | 1124121496 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01059511A |
Business Practice Address: | 600 Caisson Hill Road Irwin Army Community Hospital (attn: Mcxx-cld-qm) Fort Riley, KS - 664425037 |
Business Phone Number: | 7852397155 |
Business Fax Number: | 7852397364 |
Mailing Address: | 600 Caisson Hill Road, Irwin Army Community Hospital (attn: Mcxx-cld-qm) FORT RILEY |
State: | KS |
Postal Code: | 664425037 |
Phone Number: | 7852397155 |
Fax Number: | 7852397364 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01059511A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |