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Individual

STEPHEN RAAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-1530
(601) 984-1531
Mailing address
2500 NORTH STATE STREET, JMM ROOM 2525, JACKSON, MS 39216-4500
(601) 984-1530
(601) 984-1531

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
24182
MS
207ZP0101X
Anatomic Pathology Physician
46209
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07154773
MS
05
54722535
CO
Enumeration date
02/22/2006
Last updated
03/29/2016
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