Individual
CLEVELAND EUGENE RAYFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4414 N FLORISSANT AVE, SAINT LOUIS, MO 63107-1812
(314) 898-1720
(314) 898-1688
Mailing address
4414 N FLORISSANT AVE, SAINT LOUIS, MO 63107-1812
(314) 898-1720
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36633
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-090011
—
IL
Enumeration date
03/14/2007
Last updated
03/27/2013
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