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NPI Code Detail

MEDICARE: RAUL MCKEEVER WEBSTER MD

MEDICARE: RAUL MCKEEVER WEBSTER 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
1208800000XUrology Physician32815AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AZ0757030OTHERAZBLUECROSSBLUESHIELDAZ
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32Z2071OTHERAZHEALTHNET
47934572OTHERAZAETNA

General Provider Information

NPI Number : 1306855028
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAUL MCKEEVER WEBSTER MD
Provider Business Mailing Address
First Line : 10200 GRAND CENTRAL AVE STE 220
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4366
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2530 E SOUTHERN AVE
Second Line :
City : MESA
State : AZ
Zip : 85204-5411
Country : US
Telephone Number : 480-834-4188
Fax Number : 480-834-6181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 03/21/2025

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Directions to “ RAUL MCKEEVER WEBSTER MD” Practice Location

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