Organization
LELAND R. RAYMOND MD A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LELAND R RAYMOND MD (PRESIDENT)
(707) 266-1246
Entity
Organization
Contact information
Practice address
3417 VALLE VERDE DR, NAPA, CA 94558-2414
(707) 259-0339
(707) 259-1397
Mailing address
3417 VALLE VERDE DR, NAPA, CA 94558-2414
(707) 259-0339
(707) 259-1397
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G9919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G99190
—
CA
Enumeration date
03/27/2008
Last updated
07/23/2015
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