Individual
RAYMOND M VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3737 MORAGA AVE, SUITE A106, SAN DIEGO, CA 92117-5404
(858) 270-4420
(858) 270-8199
Mailing address
3737 MORAGA AVE, SUITE A106, SAN DIEGO, CA 92117-5404
(858) 270-4420
(858) 270-8199
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G30115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G30115
STATE LICENSE
CA
Enumeration date
04/03/2006
Last updated
06/23/2010
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