Individual
RAYMOND J FLAIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
312 W. LOSEY STR, 375 MDG/SGOPG, SCOTT AFB, IL 62225
(618) 256-7230
Mailing address
375 MDG/SGOPG, SCOTT AFB, IL 62225
(618) 256-7230
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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