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NPI Code Detail

MEDICARE: STEPHEN CORRIGAN RAYHILL MD

MEDICARE:   STEPHEN CORRIGAN RAYHILL  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
1204F00000XTransplant Surgery Physician60166380WA
2208600000XSurgery Physician60166380WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20264906OTHERWALNI

General Provider Information

NPI Number : 1063420586
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN CORRIGAN RAYHILL MD
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number : 206-543-6420
Fax Number :
Provider Business Practice Location Address
First Line : 1959 NE PACIFIC ST
Second Line : BOX 356410
City : SEATTLE
State : WA
Zip : 98195-6410
Country : US
Telephone Number : 206-598-7797
Fax Number : 206-598-4287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 03/07/2014

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Directions to “ STEPHEN CORRIGAN RAYHILL MD” Practice Location

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