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Individual

DR. STEPHEN C RAYNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
16699
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01204
BCBS
NE
01
17-00016
UHC
01
269802
COVENTRY
05
2946772
IA
01
4082052
AETNA
01
580
MIDLANDS CHOICE
Enumeration date
05/10/2006
Last updated
07/08/2007
Update your record

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