Individual
JOHN M RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 NORRIS ST, EMERGENCY DEPT, EUREKA SPRINGS, AR 72632-3541
(479) 253-7400
Mailing address
PO BOX 960454, OKLAHOMA CITY, OK 73196-0454
(800) 684-1598
(405) 844-1794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C-7959
AR
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
C7959
AR
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
C7959
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118261001
—
AR
01
—
P00765216
RRMCARE THRU WCMC
AR
01
—
P01256888
RRMCARE THRU GEP
AR
Enumeration date
07/11/2006
Last updated
08/19/2019
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