Individual
DAVE M. RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
390 GRIFFITH ST., PINEVILLE, LA 71360
(318) 443-6323
(318) 443-6189
Mailing address
390 GRIFFITH STREET, PINEVILLE, LA 71360
(318) 443-6323
(318) 443-6189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16870
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1353787
—
LA
Enumeration date
09/27/2006
Last updated
12/10/2008
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