Individual
MARK JAMES RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5944 ROUTE 981, LATROBE, PA 15650-2685
(724) 537-9008
(724) 537-9088
Mailing address
5944 ROUTE 981, LATROBE, PA 15650-2685
(724) 537-9008
(724) 537-9088
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004546L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017730000003
—
PA
Enumeration date
09/30/2005
Last updated
07/21/2009
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