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Individual

RAYMOND F. GORCZYCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5320 S. RAINBOW BLVD, SUITE 282, LAS VEGAS, NV 89118-1895
(702) 737-3808
(702) 737-7364
Mailing address
5320 S. RAINBOW BLVD, SUITE 282, LAS VEGAS, NV 89118-1895
(702) 737-3808
(702) 737-7364

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
374
NV
363A00000X
Physician Assistant
Primary
PA374
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002402306
NV
Enumeration date
01/03/2006
Last updated
04/20/2009
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