Provider Demographics
NPI:1417049271
Name:RAYMOND, FRANK JAMES (MPAS, PA-C)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:JAMES
Last Name:RAYMOND
Suffix:
Gender:M
Credentials:MPAS, PA-C
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Mailing Address - Street 1:PO BOX 424
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50302-0424
Mailing Address - Country:US
Mailing Address - Phone:515-875-9255
Mailing Address - Fax:515-875-9223
Practice Address - Street 1:5950 UNIVERSITY AVE
Practice Address - Street 2:STE 220
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266
Practice Address - Country:US
Practice Address - Phone:515-875-9410
Practice Address - Fax:515-875-9412
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2024-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA001681363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI20940004Medicare PIN