Individual
DR. RAUL A PINON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
601 S CENTER AVE, MERRILL, WI 54452-3404
(715) 536-5511
Mailing address
4909 6TH PL, MERIDIAN, MS 39305-1914
(601) 604-1264
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17751
MS
207P00000X
Emergency Medicine Physician
65077
WI
207P00000X
Emergency Medicine Physician
Primary
DO905
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126150
—
MS
05
—
009931872
—
AL
01
—
731-04382
BLUE CROSS SHIELD
AL
Enumeration date
07/23/2006
Last updated
03/17/2016
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