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Organization
JAMES BRADLEY RAY, MD PC
Active
Organization
JAMES BRADLEY RAY, MD PC
Active
Parent organization
JAMES BRADLY RAY, MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAMES BRADLY RAY, MD PC
Authorized official
JAMES BRADLEY RAY MD (PRESIDENT)
(812) 330-9962
Entity
Organization
Contact information
Practice address
502 W 2ND ST, BLOOMINGTON, IN 47403-2316
(812) 330-9962
(812) 330-9967
Mailing address
502 W 2ND ST, BLOOMINGTON, IN 47403-2316
(812) 330-9962
(812) 330-9967
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
01046774A
IN
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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