Individual
SCOTT LOGAN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1130 W MICHIGAN ST # FH204, INDIANAPOLIS, IN 46202-5209
(317) 274-0076
(317) 274-0256
Mailing address
550 S JACKSON ST FL STREET3, LOUISVILLE, KY 40202-1622
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
320104
NC
Other
Enumeration date
03/28/2020
Last updated
01/07/2025
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