Individual
DR. RAFAEL EUGENIO COPLIN REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-4777
Mailing address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-4777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45519
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036155263
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25875
WV
207RP1001X
Pulmonary Disease Physician
036155263
IL
208M00000X
Hospitalist Physician
45519
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051529239
BLUE CROSS BLUE SHIELD
AL
01
—
110239640
RAILROAD MEDICARE
AL
05
—
7100213570
—
KY
Enumeration date
06/02/2006
Last updated
03/30/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us