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Individual
JAY SAMUEL GRIDER
Active
Individual
JAY SAMUEL GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, PHD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02674
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
02674
KY
Other
Enumeration date
09/27/2006
Last updated
09/05/2012
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