Organization
PROGRESSIVE FAMILY FOOT CARE PC
Active
Other names
DAVID F RAY DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID F RAY DPM (OWNER/PHYSICIAN)
(219) 322-8894
Entity
Organization
Contact information
Practice address
966 W US HIGHWAY 30, SCHERERVILLE, IN 46375-1551
(219) 322-8894
(219) 322-0056
Mailing address
966 W US HIGHWAY 30, SCHERERVILLE, IN 46375-1551
(219) 322-8894
(219) 322-0056
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000703
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088054
ANTHEM
IN
05
—
100201670A
—
IN
01
—
480015806
RAILROAD MEDICARE
IN
01
—
61100087
BLUE SHIELD OF IL
IL
Enumeration date
10/01/2007
Last updated
12/29/2014
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