Individual
DR. JASON RAY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8051 S EMERSON AVE, #200, INDIANAPOLIS, IN 46237-8600
(317) 865-2955
Mailing address
8051 S EMERSON AVE, #200, INDIANAPOLIS, IN 46237-8600
(317) 865-2955
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01074928A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201207130
—
IN
Enumeration date
10/13/2006
Last updated
03/04/2020
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