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NPI Code Detail

MEDICARE: RAYMUNDO PUNZALAN MD

MEDICARE: RAYMUNDO PUNZALAN MD
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number : 1396404703
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAYMUNDO PUNZALAN MD
Provider Business Mailing Address
First Line : 3211 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1953
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3211 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1953
Country : US
Telephone Number : 702-968-4245
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGING MEMBER
Name : RAYMUNDO PUNZALAN
Credential : MD
Telephone Number : 702-968-4245
Provider Enumeration Date : 12/13/2021
Last Update Date : 12/13/2021

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Directions to “RAYMUNDO PUNZALAN MD ” Practice Location

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