Dr. Jason D Gray, D.P.M.
Podiatrist, Foot & Ankle Surgery in Marion, IN. Individual provider (NPI-1).
NPI number1477585396
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1477585396
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason D Gray
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2006
- Certification date
- Feb 9, 2021
- Last updated
- Feb 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 07000998A | IN | Yes |
Practice location
330 N Wabash Ave Ste 460aMarion, IN 46952-2685
Phone 765-664-1413 · Fax 765-664-2836
Mailing address
Po Box 330Fortville, IN 46040-0330
Phone 317-863-2556 · Fax 317-203-0420
Other practice locations
1622 N Madison Ave
Anderson, IN 46011-2130
Anderson, IN 46011-2130
Phone 765-641-0001 · Fax 765-641-0003
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