Provider Demographics
NPI:1598002750
Name:ALTMAN, ALAN RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:RAYMOND
Last Name:ALTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 MARSEILLES RD
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-2748
Mailing Address - Country:US
Mailing Address - Phone:760-770-6065
Mailing Address - Fax:760-770-6065
Practice Address - Street 1:10 MARSEILLES RD
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-2748
Practice Address - Country:US
Practice Address - Phone:760-770-6065
Practice Address - Fax:760-770-6065
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG28916207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology