Provider Demographics
NPI:1942256706
Name:JEFFRIES, RICHARD RAY (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:RAY
Last Name:JEFFRIES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 VAN REYPEN RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5003
Mailing Address - Country:US
Mailing Address - Phone:301-564-0365
Mailing Address - Fax:
Practice Address - Street 1:HEADQUARTERS, U.S. MARINE CORPS (HS)
Practice Address - Street 2:2 NAVY ANNEX (1116)
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20380-0001
Practice Address - Country:US
Practice Address - Phone:703-614-4477
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A 4948207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine