person
Dr. Jason D Gray, DPM
Foot & Ankle Surgery Podiatrist in Marion, Indiana
NPI 1477585396

Jason D Gray is a Foot & Ankle Surgery Podiatrist based in Fortville, IN and is specialized in Foot & Ankle Surgery. Jason D Gray practices in Marion, IN and has the professional credentials of DPM. The NPI Number for Jason D Gray is 1477585396 and holds a License No. 07000998A (Indiana).

The current practice location address for Jason D Gray is 330 N Wabash Ave Ste 460A, Marion, IN and can be reached out via phone at 765-664-1413 and via fax at 765-664-2836. You can also correspond with Jason D Gray through the mailing address at PO BOX 330, FORTVILLE, IN - 46040-0330 (mailing address contact number: 317-863-2556).

Location: 330 N Wabash Ave Ste 460A, Marion, IN, 46040-0330
person
Provider Profile Details
NPI Number
1477585396
Provider Name
Jason D Gray
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
330 N Wabash Ave Ste 460A, Marion, IN, 46040-0330
Phone Number
765-664-1413
Fax Number
765-664-2836
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5324290006 01 DME MC
200535890 05 IN
5324290003 01 DME ES
532490004 01 DME BR
5324290007 01 DME WV
5324290008 01 DME FC
4324290005 01 DME AC
P00219222 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
330 N Wabash Ave Ste 460A
City
State
Zip
46952-2685
Phone Number
765-664-1413
Fax Number
765-664-2836
person
Provider Business Mailing Address Details
Address
330 N Wabash Ave Ste 460A
City
State
Zip
46952-2685
Phone Number
765-664-1413
Fax Number
765-664-2836
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
07000998A (Indiana)
Definition
Definition to come...
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