Individual
DR. RAYMOND JOHN FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 SKYLINE DR, WHITE SALMON, WA 98672
(509) 493-2133
(509) 493-9538
Mailing address
PO BOX 1519, WHITE SALMON, WA 98672-1519
(509) 493-2133
(509) 493-9538
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019686
WA
207Q00000X
Family Medicine Physician
MD14052
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080036317
PTAN
WA
05
—
8627309
—
WA
Enumeration date
08/19/2005
Last updated
07/28/2008
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