MEDICARE: CARY RICHARD RASOF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	32871-020	WI

General Provider Information

NPI Number	:	1972253771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARY RICHARD RASOF MD

Provider Business Mailing Address
First Line	:	8701 S KOLB RD UNIT 5-271
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85756-9607
Country	:	US
Telephone Number	:	678-224-1070
Fax Number	:

Provider Business Practice Location Address
First Line	:	8701 S KOLB RD UNIT 5-271
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85756-9607
Country	:	US
Telephone Number	:	678-224-1070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2022
Last Update Date	:	03/25/2022

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