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Organization
RAYMOND L. TIPTON M D PC
Active
Organization
RAYMOND L. TIPTON M D PC
Active
Other names
Raymond L. Tipton M D
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRY A SCHAMING (OFFFICE MANAGER)
(814) 827-9007
Entity
Organization
Contact information
Practice address
119 E MECHANIC ST, TITUSVILLE, PA 16354-2161
(814) 827-9007
(814) 827-2548
Mailing address
119 E MECHANIC ST, TITUSVILLE, PA 16354-2161
(814) 827-9007
(814) 827-2548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD026931E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008652410003
—
PA
01
—
605868
BLUE SHIELD
PA
Enumeration date
11/14/2006
Last updated
10/30/2007
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