Individual
DR. GARY A RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
711 LOGAN BLVD, ALTOONA, PA 16602-4165
(814) 943-3668
(814) 942-7635
Mailing address
711 LOGAN BLVD, ALTOONA, PA 16602-4165
(814) 943-3668
(814) 942-7635
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC002487L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009025880006
—
PA
01
—
1019736
GATEWAY
PA
01
—
251753069
AETNA
PA
01
—
399941327
GEISINGER
PA
01
—
99382
HEALTH AMERICA
PA
01
—
RA430959
BC/BS
PA
Enumeration date
06/13/2005
Last updated
09/26/2022
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