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Dexter Lamar Raysor, SOIDC
Medical Physician Assistant in Suffolk, Virginia
NPI 1215247010

Dexter Lamar Raysor is a Medical Physician Assistant based in Suffolk, VA and is specialized in Medical. Dexter Lamar Raysor practices in Suffolk, VA and has the professional credentials of SOIDC. The NPI Number for Dexter Lamar Raysor is 1215247010 and holds a License No. (Virginia).

The current practice location address for Dexter Lamar Raysor is 402 Jackson St, Suffolk, VA and can be reached out via phone at 757-539-3730.

Location: 402 Jackson St, Suffolk, VA, 23434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215247010
Provider Name
Dexter Lamar Raysor
Credential
SOIDC
Provider Entity Type
Individual
Gender
Male
Address
402 Jackson St, Suffolk, VA, 23434
Phone Number
757-539-3730
Fax Number
Provider Enumeration Date
10/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
402 Jackson St
City
Suffolk
State
Virginia
Zip
23434-5315
Phone Number
757-539-3730
Fax Number
person
Provider Business Mailing Address Details
Address
402 Jackson St
City
Suffolk
State
Virginia
Zip
23434-5315
Phone Number
757-539-3730
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Paramedic
Speciality
-
Taxonomy
146L00000X
License No.
(North Carolina)
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
(Georgia)
Definition
Definition to come...
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