Provider Demographics
NPI:1609000900
Name:EIFEL, RAYMOND L (PA-C)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:L
Last Name:EIFEL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 BITTERSWEET CT
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6406
Mailing Address - Country:US
Mailing Address - Phone:540-535-0247
Mailing Address - Fax:
Practice Address - Street 1:2000 FOUNDATION WAY STE 3400
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-9583
Practice Address - Country:US
Practice Address - Phone:304-264-4090
Practice Address - Fax:304-264-1295
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical