Individual
JAD RAFFOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1402 S GRAND BLVD FL 14, SAINT LOUIS, MO 63104-1004
(314) 577-8762
Mailing address
428 S DURBIN ST, STE 104, CASPER, WY 82601-2829
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
TL5875
WY
207RI0011X
Interventional Cardiology Physician
Primary
DR.0069683
CO
Other
Enumeration date
08/11/2011
Last updated
12/07/2022
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