Provider Demographics
NPI:1942427679
Name:RAYMER, KATHARINE ANN (MD)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:ANN
Last Name:RAYMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 859
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541
Mailing Address - Country:US
Mailing Address - Phone:928-472-1222
Mailing Address - Fax:928-472-1213
Practice Address - Street 1:803 S PONDEROSA ST
Practice Address - Street 2:STE. C
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-5521
Practice Address - Country:US
Practice Address - Phone:928-472-1222
Practice Address - Fax:928-472-1213
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2011-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ44719208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery