Individual
STEPHEN RANDOLPH RAULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 515-3500
(901) 545-3509
Mailing address
877 JEFFERSON AVENUE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-6286
(901) 545-8122
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
67750
TN
207V00000X
Obstetrics & Gynecology Physician
C 5444
AR
Other
Enumeration date
07/11/2005
Last updated
06/12/2023
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