Taetle, Raymond

Taetle, Raymond is an individual health care provider with primary practice located at 603 N Wilmot Rd Ste 151, Tucson AZ 85711-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Taetle, Raymond can be contacted via phone (520) 886-0206.

Contact Information

Primary practice address
603 N Wilmot Rd Ste 151 Tucson AZ 85711-2701
Fax: (520) 886-0829
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 20032 Arizona

Profile Details

NPI number 1326002411
LBN Legal business name Taetle, Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Sep 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326002411 NPPES
Arizona MEDICAID 011552

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