Individual
ROBERT C RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2615 GAULT AVE N, FORT PAYNE, AL 35967-3728
(256) 845-4134
(256) 845-4709
Mailing address
2615 GAULT AVE N, FORT PAYNE, AL 35967-3728
(256) 845-4134
(256) 845-4709
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18125
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000033676
—
AL
01
—
51033676
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/17/2006
Last updated
05/20/2019
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