Dr. Blake Stephen Raggio
Plastic Surgeon (Head & Neck)
1111 Olive St
Montgomery
, Alabama 36106-1129
Dr. Blake Stephen Raggio
Plastic Surgeon (Head & Neck)
1111 Olive St
Montgomery
, Alabama 36106-1129
(334) 293-8738
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Blake Stephen Raggio
- 1722 Pine St Ste 203
- Montgomery, AL
- Zip : 36106-1158
- Fax : (334) 293-8738
- Phone : (334) 293-8736
Second Address
- Dr. Blake Stephen Raggio
- 1111 Olive St
- Montgomery, AL
- Zip : 36106-1129
- Fax : (334) 241-9848
- Phone : (334) 834-7221
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | MD.40981 | AL |
National Provider Identifier
| NPI | 1497174189 |
|---|---|
| Provider Name | Dr. Blake Stephen Raggio |
| First Address | Montgomery, AL 36106-1158 |
| Second Address | Montgomery, AL 36106-1129 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2014 |
| Last Update Date | 17/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.