Individual
DR. MATTHEW WARD RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3500
(907) 459-3559
Mailing address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3500
(907) 459-3559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2493
AK
2083A0100X
Aerospace Medicine Physician
2493
AK
2083X0100X
Occupational Medicine Physician
Primary
2493
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD7344
—
AK
Enumeration date
09/06/2005
Last updated
03/07/2023
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