Provider Demographics
NPI:1912906249
Name:ROFFI, RAYMOND PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:PHILIP
Last Name:ROFFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:485 S DOBSON RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5603
Mailing Address - Country:US
Mailing Address - Phone:480-821-3710
Mailing Address - Fax:480-821-3708
Practice Address - Street 1:485 S DOBSON RD
Practice Address - Street 2:SUITE 107
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5603
Practice Address - Country:US
Practice Address - Phone:480-821-3710
Practice Address - Fax:480-821-3708
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ21337207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ051448OtherAETNA
AZ20014368OtherRAIL ROAD MEDICARE
AZE02749OtherUPIN
AZ127838OtherAHCCCS
AZ20014368OtherRAIL ROAD MEDICARE