Individual
DR. PHILIP ANDRE' ST. RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 MESQUITE AVE, SUITE 100B, LAKE HAVASU CITY, AZ 86403-5602
(928) 453-1800
(928) 453-1625
Mailing address
PO BOX 1710, LAKE HAVASU CITY, AZ 86405-1710
(928) 453-1800
(928) 453-1625
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101040640
VA
208800000X
Urology Physician
Primary
14335
AZ
Other
Enumeration date
09/13/2006
Last updated
08/20/2014
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