GREG EVAN RAECKER

WATERLOO, IA
NPI1225076029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IA  02087)
Enumeration Date2006-06-03
Last Update Date2007-09-07
Business Address
-- GREG EVAN RAECKER DO
1731 W RIDGEWAY AVE STE 101
WATERLOO, IA 50701-4591
Phone number: 319-833-6001
Mailing Address
-- GREG EVAN RAECKER DO
PO BOX 2758
WATERLOO, IA 50704-2758
Phone number: 319-833-6001