Individual
BRANDON JAMES GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 294-6448
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 294-6448
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
28165283A
IN
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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