Individual
TRENT GARRET GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 W 10TH ST, WEST PAVILION M200, INDIANAPOLIS, IN 46202-2859
(317) 656-4260
Mailing address
9727 INNISBROOK BLVD, CARMEL, IN 46032-9270
(812) 599-1007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01076127A
IN
207L00000X
Anesthesiology Physician
11017086A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001213544
ANTHEM PTAN
IN
Enumeration date
05/02/2013
Last updated
12/03/2024
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