Individual provider · Type 1 NPI
Dexter Lamar Raysor, SOIDC
Medical Physician Assistant · Suffolk, VA
NPI number
1215247010
Active
Practice location
402 Jackson St
Suffolk, VA 23434-5315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Paramedic | 146L00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1215247010
Dexter Lamar Raysor, SOIDC's National Provider Identifier is 1215247010, issued on Oct 14, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Suffolk, VA. The record was last updated on Oct 14, 2010.