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RAOUL S CONCEPCION MD

Physicians Urology

Provider NPI: 1104801851

Provider Information:
 RAOUL S CONCEPCION MD
Gender: M
Sole Proprietor

Practice Location:
28 WHITE BRIDGE RD SUITE 200 NASHVILLE, TN 37205-1499 US
Tel: 615-290-0622  Fax: --

Business Mailing Address:
28 WHITE BRIDGE RD SUITE 200 NASHVILLE, TN 37205-1499 US
Tel: 615-290-0622  Fax: --

NPI Information:
NPI: 1104801851
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208800000XPhysicians
Urology
TNMD17400
N208800000XPhysicians
Urology
KY37172

Other Provider Identifiers:

IssuerNumberStateType
64797269KY05
3051346TN05
RR MEDICARE340013316TN01
BLUE CROSS0108772TN01



American Medical Association 2012 taxonomy code information

Code: 208800000X

Type:

Classification:



Definition:



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