Individual
DR. RAYMUND O PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036103774
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036103774
MARION VA MEDICAL CENTER
IL
05
—
036103774
—
IL
01
—
2005004444
MEDICAL LICENSE
MO
Enumeration date
02/05/2006
Last updated
09/23/2024
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