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Individual

RAYMOND R MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 N DIVISION ST STE 202, AUBURN, WA 98001-4939
(253) 846-8088
(253) 846-8079
Mailing address
202 N DIVISION ST STE 202, AUBURN, WA 98001-4939
(253) 846-8088
(253) 846-8079

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
200501488
NC
208000000X
Pediatrics Physician
Primary
MD60056481
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1143290
AETNA
NC
01
14062
BCBS
NC
01
185617
MEDCOST
NC
01
5066580
CIGNA HEALTHCARE
NC
01
561706219
PRACTICE TAX ID
NC
05
5902378
NC
Enumeration date
02/28/2006
Last updated
02/14/2013
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