Individual
JOHN MATTHEW RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3521 HIGHWAY 190, SUITE P, EUNICE, LA 70535-5135
(337) 457-8040
(337) 457-8043
Mailing address
3521 HIGHWAY 190, SUITE P, EUNICE, LA 70535-5135
(337) 457-8040
(337) 457-8043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.203801
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099619
—
LA
Enumeration date
05/25/2007
Last updated
10/14/2014
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