Individual
MR. RAYMOND J PELLAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1335 PHAY AVE, STE D, CANON CITY, CO 81212-2349
(719) 269-8820
(719) 204-0230
Mailing address
45606 W US HIGHWAY 50, CANON CITY, CO 81212-8249
(719) 276-9393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2086
CO
Other
Enumeration date
06/24/2005
Last updated
07/08/2007
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