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NPI Code Detail

MEDICARE: GARY A RAYMOND DPM PC

MEDICARE: GARY A RAYMOND DPM PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician
2207XP3100XPediatric Orthopaedic Surgery Physician
3207XS0106XOrthopaedic Hand Surgery Physician
4207XS0114XAdult Reconstructive Orthopaedic Surgery Physician
5207XX0004XOrthopaedic Foot and Ankle Surgery Physician
6207XX0005XSports Medicine (Orthopaedic Surgery) Physician
7207XX0801XOrthopaedic Trauma Physician
8213EP1101XPrimary Podiatric Medicine Podiatrist
9213ES0000XSports Medicine Podiatrist
10213ES0103XFoot & Ankle Surgery Podiatrist
11213ES0131XFoot Surgery Podiatrist
12213E00000XPodiatrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376811570
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARY A RAYMOND DPM PC
Provider Business Mailing Address
First Line : 711 LOGAN BLVD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4165
Country : US
Telephone Number : 814-943-3668
Fax Number : 814-942-7635
Provider Business Practice Location Address
First Line : 711 LOGAN BLVD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4165
Country : US
Telephone Number : 814-943-3668
Fax Number : 814-942-7635
Authorized Official
Title or Position : PRESIDENT
Name : DR. GARY A RAYMOND
Credential : DPM
Telephone Number : 814-943-3668
Provider Enumeration Date : 12/02/2011
Last Update Date : 06/20/2023

Similar Medicare Providers

1942204367 — DR. GARY A RAYMOND DPM
Practice Location Address:
711 LOGAN BLVD
ALTOONA, PA
16602-4165
Practice Phone: 814-943-3668
Practice Fax: 814-942-7635
1306841333 — DR. TERRY WILLS DPM
Practice Location Address:
711 LOGAN BLVD
ALTOONA, PA
16602-4165
Practice Phone: 814-943-3668
Practice Fax: 814-942-7635
1780689737 — DR. LENORE JOLENE MOYER DPM
Practice Location Address:
711 LOGAN BLVD
ALTOONA, PA
16602-4165
Practice Phone: 814-943-3668
Practice Fax: 814-942-7635
1528027794 — WILLIAM J WIEDEMER D.P.M.
Practice Location Address:
711 LOGAN BLVD
ALTOONA, PA
16602-4165
Practice Phone: 814-943-3668
Practice Fax: 814-942-7635
1033159538 — DR. MATTHEW T SABOL D.P.M.
Practice Location Address:
711 LOGAN BLVD
ALTOONA, PA
16602-4165
Practice Phone: 814-943-3668
Practice Fax: 814-942-7635
1114447182 — DR. ALEX GARY RAYMOND DO
Practice Location Address:
711 LOGAN BLVD
ALTOONA, PA
16602-4165
Practice Phone: 814-943-3668
Practice Fax:

Directions to “GARY A RAYMOND DPM PC ” Practice Location

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