Provider Demographics
NPI:1962529784
Name:WEBSTER, RAYMOND L (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:L
Last Name:WEBSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:112 BALFOUR DR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:IA
Mailing Address - Zip Code:50211-9510
Mailing Address - Country:US
Mailing Address - Phone:515-339-3291
Mailing Address - Fax:515-608-4665
Practice Address - Street 1:711 HIGH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50392-9510
Practice Address - Country:US
Practice Address - Phone:515-246-7633
Practice Address - Fax:515-608-4665
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA256722083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine