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Individual
ROBERT LOUIS RAYBURN
Active
Individual
ROBERT LOUIS RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
161957-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107006359101
IHC
UT
01
—
2000040
UNITED HEALTHCARE
UT
01
—
2359
HEALTHY U
UT
05
—
284068
—
AZ
05
—
401765
—
MT
01
—
416954
DESERET MUTUAL
UT
01
—
7539
PEHP
UT
01
—
870280408RA1
EDUCATORS MUTUAL
UT
01
—
PR00955
MOLINA
UT
01
—
QM0000049540
ALTIUS
UT
Enumeration date
08/30/2006
Last updated
07/08/2007
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