Individual
DR. PAUL T RAFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
7030 S YOSEMITE ST, CENTENNIAL, CO 80112-2016
(303) 721-9984
(303) 267-7304
Mailing address
PO BOX 1252, CONIFER, CO 80433-1252
(303) 250-0714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34816
CO
207Q00000X
Family Medicine Physician
74479
FL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
34816
CO
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
74479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020147
KAISER COMMERICAL NUMBER
CO
05
—
13379526
—
CO
01
—
348308
MEDICARE GROUP NUMBER
CO
01
—
811064
MEDICARE GROUP NUMBER
CO
Enumeration date
07/11/2005
Last updated
10/29/2019
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