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NPI Code Detail

MEDICARE: JAY MICHAEL RAYMOCK M.D.

MEDICARE: JAY MICHAEL RAYMOCK M.D.
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
1207Q00000XFamily Medicine Physician20981AZ

General Provider Information

NPI Number : 1467473694
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAY MICHAEL RAYMOCK M.D.
Provider Business Mailing Address
First Line : 2730 S VAL VISTA DR STE 187
Second Line :
City : GILBERT
State : AZ
Zip : 85295-1684
Country : US
Telephone Number : 480-324-0300
Fax Number : 480-324-0324
Provider Business Practice Location Address
First Line : 2730 S VAL VISTA DR STE 187
Second Line :
City : GILBERT
State : AZ
Zip : 85295-1684
Country : US
Telephone Number : 480-324-0300
Fax Number : 480-324-0324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 04/21/2021

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