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General NPI Number Information
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NPI Number | 1912979600
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Entity Type | Individual
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Provider Name | WILLIAM ROMAIN RAYMOND MD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-9656
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Country | US
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Telephone | 253-968-1770
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Fax | 253-968-1451
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Provider Business Mailing Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-9656
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Country | US
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Telephone | 253-968-1770
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Fax | 253-968-1451
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD00029222
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | MD00029222
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License Number State | WA
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