Individual
JOHN BOURKE RAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1506 ASTON AVE, MCCOMB, MS 39648-2735
(601) 249-4282
(601) 249-4852
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(601) 249-4282
(601) 249-4852
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19880
MS
207X00000X
Orthopaedic Surgery Physician
MD025787
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08585290
—
MS
Enumeration date
06/13/2006
Last updated
05/27/2016
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