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PHILIP A ST RAYMOND MD PLLC NPI 1629370580


NPI Information

NPI: 1629370580
Provider Name: PHILIP A ST RAYMOND MD PLLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1972 MESQUITE AVE
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 854-6500
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PHILIP A ST RAYMOND MD PLLC is an urology in Lake Havasu City, AZ. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PHILIP A ST RAYMOND MD PLLC NPI is 1629370580. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1972 MESQUITE AVE
LAKE HAVASU CITY, AZ
ZIP 86403-729
Phone: (928) 854-6500
Fax: (928) 854-6206

The provider's authorized official is Philip A St Raymond .
The authorized official title is Owner and has the following contact phone number (928) 854-6500.

The enumeration date for this NPI number is 11/29/2010 and was last updated on 11/21/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology14335ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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