Edward K Raczka Valid NPI

Individual provider · Primary Podiatric Medicine Podiatrist · Denver, CO

NPI

1114907482

Type

Individual (Type 1)

Primary specialty

Primary Podiatric Medicine Podiatrist (Podiatrist)

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213EP1101X

License number

298 (CO)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-01-20

Last updated

2015-07-01