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Individual

DR. JOHN GORDON RAWLES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 JOHNSTON WILLIS DR, SUITE A, RICHMOND, VA 23235-4765
(804) 379-8088
(804) 794-6067
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
101030205
VA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
101030205
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006441769
VA
01
042940
ANTHEM HEALTHKEEPERS
VA
01
0536807
AETNA HMO
VA
01
0900105
UNITED HEALTHCARE
VA
05
1225077548
VA
01
200018854
RAILROAD MEDICARE
VA
01
2138341
UNITED HEALTHCARE MAMSI
VA
01
285556
SOUTHERN HEALTH
VA
01
31725
SH CARENET
VA
01
386539
ANTHEM WEST END OPERATORY
VA
01
48193
OPTIMA HEALTH
VA
01
540885859
PRIVATE HEALTHCARE SYSTEM
VA
Enumeration date
06/05/2006
Last updated
01/29/2013
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