Organization
RAYMOND P ROFFI MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ANN DAOU CPC (PRACTICE MANAGER)
(480) 821-3713
Entity
Organization
Contact information
Practice address
485 S DOBSON RD STE 107, CHANDLER, AZ 85224-5603
(480) 821-3710
(480) 821-3708
Mailing address
485 S DOBSON RD STE 107, CHANDLER, AZ 85224-5603
(480) 821-3710
(480) 821-3708
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21337
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051448
AETNA
AZ
01
—
127838
AHCCCS
AZ
01
—
20014368
RAILROAD MEDICARE
AZ
01
—
MD21337
MEDICARE
AZ
Enumeration date
12/09/2014
Last updated
12/09/2014
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