Provider Demographics
NPI:1295700060
Name:BATTIE, RAYMOND ALBERT (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:ALBERT
Last Name:BATTIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1100 N PALM CANYON DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4414
Mailing Address - Country:US
Mailing Address - Phone:760-323-4296
Mailing Address - Fax:760-320-9445
Practice Address - Street 1:1100 N PALM CANYON DR
Practice Address - Street 2:SUITE 205
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4414
Practice Address - Country:US
Practice Address - Phone:760-323-4296
Practice Address - Fax:760-320-9445
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA00023591207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A235910Medicaid
CA00A235910Medicare ID - Type Unspecified
CA00A235910Medicaid