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
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM 658 (TN) |
| Foot Surgery Podiatrist Primary | 213ES0131X | DPM217 (TN) |
Foot Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot surgery podiatrist providers in Dyersburg
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.