Individual
DR. ALAN T. RAUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 761-4351
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 761-4351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
101764
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
101764
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110106436
MEDICARE RAILROAD
MO
05
—
207938408
—
MO
01
—
271066
HEALTHLINK
MO
01
—
8406
BCBS
MO
01
—
CP9089
RAILROAD GROUP
MO
Enumeration date
01/19/2006
Last updated
06/28/2023
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