person
Dr. Samuel Robert Raine, MD
Student in an Organized Health Care Education/Training Program in Aurora, Colorado
NPI 1215670054

Samuel Robert Raine is a Student in an Organized Health Care Education/Training Program based in Aurora, CO. Samuel Robert Raine practices in Aurora, CO and has the professional credentials of MD. The NPI Number for Samuel Robert Raine is 1215670054 and holds a License No. (Colorado).

The current practice location address for Samuel Robert Raine is 12631 E 17Th Ave Rm 4007, Aurora, CO and can be reached out via phone at 303-724-2052.

Location: 12631 E 17Th Ave Rm 4007, Aurora, CO, 80045-2527
person
Provider Profile Details
NPI Number
1215670054
Provider Name
Samuel Robert Raine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12631 E 17Th Ave Rm 4007, Aurora, CO, 80045-2527
Phone Number
303-724-2052
Fax Number
Provider Enumeration Date
04/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12631 E 17Th Ave Rm 4007
City
State
Zip
80045-2527
Phone Number
303-724-2052
Fax Number
person
Provider Business Mailing Address Details
Address
12631 E 17Th Ave Rm 4007
City
State
Zip
80045-2527
Phone Number
303-724-2052
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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