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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RAYMOND JOSEPH CLYDESDALE, D.O.

Active

DR. RAYMOND JOSEPH CLYDESDALE, D.O. is a 2083A0100X healthcare provider located in HAMPTON, Virginia. NPI 1699764340 is currently active in the NPPES registry. Verify at CMS.

2083A0100X · HAMPTON, VA

Registration Details

NPI Number
1699764340
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2005 (20.838883967397 yrs)
Last Updated
Jun 12, 2024
Licenses
OS12364 (PA)
OS12364 (PA)
OS12364 (PA)

Practice Information

Address
633 MEDICAL GROUP
77 NEALY AVENUE
HAMPTON, VA, 236652040
Browse VA providers · Browse ZIP 23665
Phone
7572257630
Primary Specialty
2083A0100X
2083A0100X
Additional Specialty
General Practice
Additional Specialty
2083A0100X

Other 2083A0100X Providers in HAMPTON, VA

Name Credential NPI
JIANZHONG ZHANG M.D. 1760460067
DR. CHARLES GREGORY MAHAKIAN M.D. 1750450177
DR. ARNE HASSELQUIST D.O. 1023336799
DR. LEROY PATRICK GROSS MD 1861741662
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.