Provider Demographics
NPI:1093129173
Name:NATWICK, RAYLENE FRANCES (MD)
Entity type:Individual
Prefix:
First Name:RAYLENE
Middle Name:FRANCES
Last Name:NATWICK
Suffix:
Gender:
Credentials:MD
Other - Prefix:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 800022
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-0022
Mailing Address - Country:US
Mailing Address - Phone:800-953-0104
Mailing Address - Fax:
Practice Address - Street 1:3592 W 9000 S STE 210
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088
Practice Address - Country:US
Practice Address - Phone:801-208-1050
Practice Address - Fax:801-208-6376
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301105559208600000X
UT11222369-1205208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery