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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
GARY A RAYMOND DPM (PRESIDENT)
(814) 943-3668
Entity
Organization
Contact information
Practice address
927 W HIGH ST, EBENSBURG, PA 15931-1856
(814) 472-4303
(814) 942-7635
Mailing address
711 LOGAN BLVD, ALTOONA, PA 16602-4165
(914) 943-3668
(814) 942-7635
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
213E00000X
Podiatrist
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017818520008
—
PA
Enumeration date
03/04/2009
Last updated
06/20/2023
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