Provider Demographics
NPI:1669548947
Name:SUAREZ, RAYMOND D (MD)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:D
Last Name:SUAREZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9305 W THOMAS RD
Mailing Address - Street 2:SUITE 155
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-3328
Mailing Address - Country:US
Mailing Address - Phone:623-936-1780
Mailing Address - Fax:623-936-9116
Practice Address - Street 1:9305 W THOMAS RD
Practice Address - Street 2:SUITE 155
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-3328
Practice Address - Country:US
Practice Address - Phone:623-936-1780
Practice Address - Fax:623-936-9116
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2011-04-15
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Provider Licenses
StateLicense IDTaxonomies
AZ35505207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH56647Medicare UPIN