Organization
R. CHARLES RAY, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND CHARLES RAY MD (PARTNER)
(808) 960-2363
Entity
Organization
Contact information
Practice address
65-1227A OPELO RD, SUITE104, KAMUELA, HI 96743-7315
(808) 885-6030
(808) 885-6020
Mailing address
65-1227A OPELO RD, SUITE104, KAMUELA, HI 96743-7315
(808) 885-6030
(808) 885-6020
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD 15425
HI
Other
Enumeration date
11/23/2010
Last updated
02/01/2013
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