Provider Demographics
NPI:1396057725
Name:KRAMER, RAYMOND DAVIES (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:DAVIES
Last Name:KRAMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1369 E HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404-4640
Mailing Address - Country:US
Mailing Address - Phone:909-883-8966
Mailing Address - Fax:909-881-1480
Practice Address - Street 1:1369 E HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-4640
Practice Address - Country:US
Practice Address - Phone:909-883-8966
Practice Address - Fax:909-881-1480
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG48896207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine