Individual
ALTON W RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4400
(918) 619-4601
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20096
OK
Other
Enumeration date
01/19/2006
Last updated
09/16/2015
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