Individual
DR. RAYMOND EDGAR ANDREASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
HC 60 BOX 4860, DELTA JUNCTION, AK 99737-9440
(907) 895-5100
(907) 895-5133
Mailing address
HC 60 BOX 4860, DELTA JUNCTION, AK 99737-9440
(907) 895-5100
(907) 895-5133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AA2011
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD9969
—
AK
Enumeration date
09/01/2005
Last updated
05/23/2008
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