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Individual
MARK RATLEY
Active
Individual
MARK RATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A83628
CA
208M00000X
Hospitalist Physician
Primary
A83628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810607467
PHCS
CA
01
—
00A836280
BLUE SHIELD
CA
05
—
00A836280
—
CA
01
—
1806848
GREAT WEST
CA
01
—
2237972
FIRST HEALTH
CA
01
—
236150
HEALTH NET
CA
01
—
2443808
UNITED HEALTHCARE
CA
01
—
7071951
CIGNA
CA
01
—
7208632
AETNA
CA
01
—
90141472
INTERPLAN
CA
01
—
A83628
BLUE CROSS
CA
01
—
MCMG343700
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/20/2006
Last updated
02/13/2012
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