Individual
RAYMOND V HARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
150 SPARTAN DR, SALEM, VA 24153-3208
(540) 400-8777
(540) 400-8795
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0102050084
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006104321
—
VA
01
—
140004949
RAILROAD MEDICARE
—
01
—
C01334
MEDICARE LEGACY GROUP NUM
VA
01
—
C12923
RAILROAD MEDICARE LEGACY
—
Enumeration date
08/11/2006
Last updated
05/06/2020
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