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Individual

J RANDALL RAUH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
330 ROGER LN, SUITE 4, MILES CITY, MT 59301-9239
(406) 234-7660
Mailing address
330 ROGER LN, SUITE 4, MILES CITY, MT 59301-9239
(406) 234-7660

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4606
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000097685
BCBS PIN
MT
01
0076993
MDCD PIN
MT
01
113957600
MDCD PIN
WY
Enumeration date
09/21/2006
Last updated
01/05/2021
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