Individual
JARED PHILIP GOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, ATC
Contact information
Practice address
8180 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-5629
(317) 621-7722
Mailing address
8180 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-5629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001976A
IN
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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