Individual
DOUGLAS LEE RABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1941 BANEY RD S, ASHLAND FAMILY PRACTICE/SAMARITAN PROFESSIONAL CORP, ASHLAND, OH 44805-4502
(419) 289-0333
(419) 281-7903
Mailing address
PO BOX 72098, CLEVELAND, OH 44192-0002
(419) 289-0333
(419) 281-7903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OH67071
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0982183
—
OH
Enumeration date
11/04/2005
Last updated
12/02/2020
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