Organization
WILLIAM G RAINER JR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G RAINER JR. MD (PRESIDENT)
(970) 565-4500
Entity
Organization
Contact information
Practice address
106 E 1ST ST, CORTEZ, CO 81321-3749
(970) 565-4500
(970) 565-0862
Mailing address
106 E 1ST ST, CORTEZ, CO 81321-3749
(970) 565-4500
(970) 565-0862
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28307
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27935221
—
CO
Enumeration date
06/26/2008
Last updated
03/31/2016
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