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NPI Code Detail

MEDICARE: TERRY W RAYMER MD

MEDICARE: TERRY W RAYMER 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
1207Q00000XFamily Medicine PhysicianG61883CA

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 : 1902804099
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY W RAYMER MD
Provider Business Mailing Address
First Line : 1600 WEEOT WAY
Second Line :
City : ARCATA
State : CA
Zip : 95521-4734
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 WEEOT WAY
Second Line :
City : ARCATA
State : CA
Zip : 95521-4734
Country : US
Telephone Number : 707-825-5010
Fax Number : 707-825-6736
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 09/08/2022

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Directions to “ TERRY W RAYMER MD” Practice Location

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