Individual
MR. LARAMIE JAY RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(304) 890-7600
Mailing address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(304) 890-7600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/29/2014
Last updated
06/27/2023
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