Individual
JOANNE T RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2101 JACKSON ST, SUITE 204, ANDERSON, IN 46016-4388
(765) 642-8025
(765) 642-8623
Mailing address
2101 JACKSON ST, SUITE 204, ANDERSON, IN 46016-4388
(765) 642-8025
(765) 642-8623
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01027454A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100170720A
—
IN
Enumeration date
06/07/2006
Last updated
01/07/2015
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