Individual
CHARLES HARRY RAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 560-5855
Mailing address
DEPT 1188, DENVER, CO 80291-1188
(303) 486-5504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19879
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01198795
—
CO
Enumeration date
07/31/2006
Last updated
02/01/2012
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