Individual
ERIC RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 349-8310
(215) 893-7270
Mailing address
3400 SPRUCE STREET, DULLES BLDG., SUITE 680, PHILADELPHIA, PA 19104
(215) 349-8310
(215) 893-7270
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NJ01074400
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN673303
PA
Other
Enumeration date
11/06/2020
Last updated
02/26/2025
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