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Individual

LOUIS C RAYMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
640 FLORMANN ST, RAPID CITY, SD 57701
(605) 718-3300
(605) 718-3426
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
3780
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00321447
RR MEDICARE
SD
Enumeration date
05/24/2006
Last updated
01/24/2013
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