Organization
PHILIP A ST RAYMOND MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP A ST RAYMOND MD (OWNER)
(928) 854-6500
Entity
Organization
Contact information
Practice address
1972 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5729
(928) 854-6500
(928) 854-6206
Mailing address
PO BOX 1710, LAKE HAVASU CITY, AZ 86405-1710
(928) 854-6500
(928) 854-6206
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14335
AZ
Other
Enumeration date
11/29/2010
Last updated
11/21/2011
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