Organization · Type 2 NPI

Stephen D. Raines

Foot Surgery Podiatrist · Dyersburg, TN

NPI number 1962534677 Active

Practice location

1901 Cook St
Dyersburg, TN 38024-1882

Fax (731) 286-2201

Mailing address

1415 E Reelfoot Ave
Union City, TN 38261-5812

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103XDPM 658 (TN)
Foot Surgery Podiatrist Primary 213ES0131XDPM217 (TN)

Foot Surgery Podiatrist: Definition to come...

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About NPI 1962534677

Stephen D. Raines's National Provider Identifier is 1962534677, issued on Mar 9, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Dyersburg, TN. The record was last updated on Nov 21, 2008.