Individual
JASON B JAYROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 E BOYD AVE STE 201, GREENFIELD, IN 46140-2818
(317) 462-5112
(317) 462-5122
Mailing address
300 E BOYD AVE STE 201, GREENFIELD, IN 46140-2818
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01067794A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01067794A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200974920
—
IN
01
—
3864809681
MYUTMB 3864809681-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
07/01/2022
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