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NPI Code Detail

MEDICARE: ALEXANDER RAINES MD

MEDICARE:   ALEXANDER  RAINES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician24557OK

General Provider Information

NPI Number : 1184850539
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER RAINES MD
Provider Business Mailing Address
First Line : 920 SL YOUNG BLVD
Second Line : WP 2140
City : OKLAHOMA CITY
State : OK
Zip : 73104-5033
Country : US
Telephone Number : 405-271-6308
Fax Number :
Provider Business Practice Location Address
First Line : 920 SL YOUNG BLVD
Second Line : WP 2140
City : OKLAHOMA CITY
State : OK
Zip : 73104-5033
Country : US
Telephone Number : 405-271-6308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2009
Last Update Date : 05/29/2009

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Directions to “ ALEXANDER RAINES MD” Practice Location

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