Individual
MR. RAYMOND N MOTT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
008069
NY
363A00000X
Physician Assistant
008069
NY
363AS0400X
Surgical Physician Assistant
Primary
008069
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008069
NYS PA
NY
Enumeration date
02/13/2006
Last updated
10/21/2024
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