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General NPI Number Information
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NPI Number | 1912075920
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Entity Type | Individual
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Provider Name | PAUL D RAYMOND MD
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 323 W DANVIEW AVE
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City | HOMER
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State | AK
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Zip | 99603-7028
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Country | US
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Telephone | 907-235-0000
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Fax | 907-235-4050
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Provider Business Mailing Address
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Address Line | 510 W TUDOR RD STE 5
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City | ANCHORAGE
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State | AK
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Zip | 99503-6649
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Country | US
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Telephone | 907-743-0050
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Fax | 907-743-0060
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | AA2281
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AA2281
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License Number State | AK
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