Individual
JOHN ERIC RAUNIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 E VAN BUREN AVE, MCALESTER, OK 74501-4245
(918) 426-0240
(918) 423-4051
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17727
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100123260A
—
OK
Enumeration date
06/30/2005
Last updated
08/17/2012
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