Individual
DR. RAYMOND FREDERICK MOHRMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12266 DE PAUL DR STE 300, BRIDGETON, MO 63044-2562
(314) 291-8824
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R8900
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201239126
—
MO
Enumeration date
09/08/2006
Last updated
11/10/2020
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