Individual
DR. JOHN M RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 E. HIGHLAND AVE, SUITE 204, PHOENIX, AZ 85016-4876
(602) 257-4219
(602) 257-8319
Mailing address
2222 E. HIGHLAND AVE, SUITE 204, PHOENIX, AZ 85016-4876
(602) 257-4219
(602) 257-8319
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
11267
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231283
—
AZ
05
—
799702
—
AZ
01
—
AZ0819110
BC/BS PROVIDER ID
AZ
Enumeration date
01/24/2006
Last updated
08/31/2010
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