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Contact Information

BRUCE E RAYBURN, MD
390 GRIFFITH ST
PINEVILLE, LA71360
 Phone: 318-493-6323
 Fax: 318-443-6189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRUCE E RAYBURN · (Male)

NPI # 1033292461
Status Active
Credentials MD
Entity Individual
Enumeration date 10/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 018519
  • LA Medicaid 1911895
Hospital affiliation(s)
  • CENTRAL LOUISIANA SURGICAL HOSPITAL - (Acute Care)
    651 NORTH BOLTON AVE
    ALEXANDRIA, LA 71301
  • LASALLE GENERAL HOSPITAL - (Acute Care)
    187 NINTH ST/HWY 84 WEST
    JENA, LA 71342
  • RAPIDES REGIONAL MEDICAL CENTER - (Acute Care)
    211 4TH STREET
    ALEXANDRIA, LA 71301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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