Individual
DR. ALEX GARY RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
711 LOGAN BLVD, ALTOONA, PA 16602-4165
(814) 943-3668
Mailing address
711 LOGAN BLVD, ALTOONA, PA 16602-4165
(814) 943-3668
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS019604
PA
207X00000X
Orthopaedic Surgery Physician
OT017682
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT017682
PA
Other
Enumeration date
06/21/2017
Last updated
11/05/2023
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