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Individual

DR. JOHN BAXTER RATCLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
706 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-8444
(870) 863-7540
Mailing address
706 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-8444
(870) 863-7540

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R3243
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106171001
AR
01
13291000000
QUALCHOICE
AR
01
160052555
PALMETTO GBA
01
720980896
UNITED HEALTH CARE
Enumeration date
06/27/2006
Last updated
06/16/2010
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