| Dustin Raber Md Inc | |
|
810 E D St Lemoore CA 93245-9545 | |
| (559) 639-7602 | |
| Not Available |
| Full Name | Dustin Raber Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 810 E D St, Lemoore, California |
| Authorized Official Name and Position | Dustin A Raber (CEO) |
| Authorized Official Contact | 5596397602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Raber Md Inc 449 Camden Ct Lemoore CA 93245-4384 Ph: (559) 639-7602 | Dustin Raber Md Inc 810 E D St Lemoore CA 93245-9545 Ph: (559) 639-7602 |
| NPI Number | 1720410582 |
|---|---|
| Provider Enumeration Date | 08/04/2013 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 7719116185 |
|---|---|
| Medicare Enrollment ID | O20140205000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720410582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A94854 (California) | Primary |
| Provider Name | Dustin A Raber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962413625 PECOS PAC ID: 9537161492 Enrollment ID: I20070205000695 |
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