Individual
MARK RAINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 S TONGASS HWY, KETCHIKAN, AK 99901-9600
(907) 228-7601
Mailing address
PO BOX 6484, KETCHIKAN, AK 99901-1484
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3402
AK
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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