Provider Demographics
NPI:1912979600
Name:RAYMOND, WILLIAM ROMAIN (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ROMAIN
Last Name:RAYMOND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-9656
Mailing Address - Country:US
Mailing Address - Phone:253-968-1770
Mailing Address - Fax:253-968-1451
Practice Address - Street 1:MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-9656
Practice Address - Country:US
Practice Address - Phone:253-968-1770
Practice Address - Fax:253-968-1451
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2020-12-16
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00029222207W00000X, 207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus SpecialistGroup - Multi-Specialty