Individual
RAYMOND TAETLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
603 N WILMOT RD, STE 151, TUCSON, AZ 85711-2701
(520) 886-0206
(520) 886-0829
Mailing address
1760 E RIVER RD, 350, TUCSON, AZ 85718-5999
(520) 519-7775
(520) 519-7910
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
20032
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011552
—
AZ
Enumeration date
04/14/2006
Last updated
09/09/2016
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