Doctor Name: | DR. RAYMOND B. WYNN |
NPI Number: | 1548216195 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD438611 |
Business Practice Address: | 2200 Memorial Dr Farrell, PA - 161211357 |
Business Phone Number: | 7249837570 |
Business Fax Number: | 7249837562 |
Mailing Address: | 2 Hot Metal St, Quantum One, N467 PITTSBURGH |
State: | PA |
Postal Code: | 152032348 |
Phone Number: | 4124325806 |
Fax Number: | 4124327691 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | MD438611 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |