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Individual

DR. PATRICIA L RAYMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1925 GLENN MITCHELL DR, STE 102, VIRGINIA BEACH, VA 23456-0170
(757) 464-1644
(757) 363-1071
Mailing address
1020 INDEPENDENCE BLVD, SUITE 110, VIRGINIA BEACH, VA 23455-5500
(757) 464-1644
(757) 363-1071

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101045459
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0-0675060
TRICARE
VA
05
010050715
VA
01
105928
ANTHEM
VA
05
1063410413
VA
01
15938
OPTIMA
VA
01
3575971
CIGNA
VA
01
515366
MAMSI/OPTIMUM CHOICE/MDIPA
VA
Enumeration date
07/11/2005
Last updated
03/01/2016
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