# DR. JESS P PRICE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841273158
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 01057218A | IN | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0673 | AZ | Yes |

## Other

- **Enumeration date:** 11/22/2005
- **Last updated:** 07/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000371790 | BC/BS | IN |
| 01 | — | 0231480001 | MEDICARE DME | IN |
| 05 | — | 200521460 | — | IN |
| 05 | — | 344979 | — | AZ |
| 05 | — | 80000615 | — | KY |