| Dr Leopold Joseph Raschbaum, MD | |
|
1074 Country Club Rd, Building A-4, Santa Teresa, NM 88008-9757 | |
| (915) 820-2362 | |
| (505) 589-3021 |
| Full Name | Dr Leopold Joseph Raschbaum |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1074 Country Club Rd, Santa Teresa, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659320661 | NPI | - | NPPES |
| 000K4535 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 85-88 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leopold Joseph Raschbaum, MD 1074 Country Club Rd, Building A-4, Santa Teresa, NM 88008-9757 Ph: (915) 820-2362 | Dr Leopold Joseph Raschbaum, MD 1074 Country Club Rd, Building A-4, Santa Teresa, NM 88008-9757 Ph: (915) 820-2362 |