Individual
RAOUL JOUBRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 WILKINS CIRCLE, GASTROENTEROLOGY ASSOCIATES PC, CASPER, WY 82601
(307) 265-1792
(307) 237-8106
Mailing address
1441 WILKINS CIRCLE, GASTROENTEROLOGY ASSOCIATES PC, CASPER, WY 82601
(307) 265-1792
(307) 237-8106
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
6559A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059279
MONTANA MEDICAID
MT
01
—
308745
BLUE CROSS
WY
Enumeration date
08/30/2006
Last updated
07/08/2007
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