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Organization
GARY A RAYMOND, DPM PC
Active
Organization
GARY A RAYMOND, DPM PC
Active
Other names
Advanced Regional Center for Orthopedics and Podiatry, ADVANCED REGIONAL CENTER FOR ANKLE AND FOOT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A RAYMOND D.P.M. (PRESIDENT)
(814) 943-3668
Entity
Organization
Contact information
Practice address
711 LOGAN AVE, ALTOONA, PA 16602-4831
(814) 943-3668
(814) 942-7635
Mailing address
711 LOGAN AVE, ALTOONA, PA 16602-4831
(814) 943-3668
(814) 942-7635
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
NULL
207XX0801X
Orthopaedic Trauma Physician
—
—
213E00000X
Podiatrist
SC002487L
PA
213E00000X
Podiatrist
Primary
—
NULL
213E00000X
Podiatrist
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
NULL
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
NULL
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
NULL
213ES0131X
Foot Surgery Podiatrist
—
—
222Z00000X
Orthotist
—
NULL
222Z00000X
Orthotist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
NULL
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017818520008
—
PA
Enumeration date
06/03/2006
Last updated
06/20/2023
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