Individual
RAYMOND SEVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1144 SONOMA AVE, SUITE 121, SANTA ROSA, CA 95405-4812
(707) 978-4322
(707) 538-2519
Mailing address
1144 SONOMA AVE, SUITE 121, SANTA ROSA, CA 95405-4812
(707) 978-4322
(707) 538-2519
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G63482
CA
207XS0106X
Orthopaedic Hand Surgery Physician
G63482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G634820
—
CA
01
—
1003854159
MD CONDEREN MEDICAL BILLING
CA
Enumeration date
06/02/2006
Last updated
07/07/2015
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