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Individual
RAY THOMAS DOUGLAS
Active
Individual
RAY THOMAS DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD059568L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015759160011
—
PA
01
—
080113566
RAILROAD MEDICARE
PA
01
—
14953C3AB
GEISINGER
PA
01
—
232809429
TRICARE
PA
01
—
50044499
BLUE CROSS
PA
01
—
881703
BLUE SHIELD
PA
01
—
G44887
HEALTH AMERICA
PA
Enumeration date
07/18/2006
Last updated
01/29/2026
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