Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 5047 | MT |
NPI | 1427142231 |
---|---|
Provider Name | Dr. Raymond A Kaufman |
First Address | Butte, MT 59701-3221 |
Second Address | Butte, MT 59701-3221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D32782 | (02) | MT |