Provider Demographics
NPI:1831495100
Name:RAKOFSKY, ANTHONY KENNETH (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:KENNETH
Last Name:RAKOFSKY
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:9040 FITZSIMMONS DR
Mailing Address - Street 2:MADIGAN ARMY MEDICAL CENTER
Mailing Address - City:JOINT BASE LEWIS MCCHORD
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1000
Mailing Address - Country:US
Mailing Address - Phone:253-966-8146
Mailing Address - Fax:
Practice Address - Street 1:9040 FITZSIMMONS DR
Practice Address - Street 2:MADIGAN ARMY MEDICAL CENTER
Practice Address - City:FPO
Practice Address - State:AA
Practice Address - Zip Code:98431
Practice Address - Country:US
Practice Address - Phone:253-966-8146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-04
Last Update Date:2014-02-05
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant