Individual
RAYMOND OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801
(256) 265-9889
Mailing address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-9889
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.37062
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2015
Last updated
03/13/2019
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