Individual
RAYMUNDO VILLANUEVA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 CENTRAL AVE, DODGE CITY, KS 67801-1000
(620) 227-1371
(620) 227-1208
Mailing address
2020 CENTRAL AVE, DODGE CITY, KS 67801-1000
(620) 227-1371
(620) 227-1208
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0424465
KS
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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