Doctor Name: | DAVID R RAPER |
NPI Number: | 1285699694 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 20590 |
Business Practice Address: | 234 E Gray St Ste 334-b Louisville, KY - 402021900 |
Business Phone Number: | 5026291750 |
Business Fax Number: | 5026291760 |
Mailing Address: | Po Box 950202, LOUISVILLE |
State: | KY |
Postal Code: | 402950202 |
Phone Number: | 5029696552 |
Fax Number: | 5029693799 |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |