Individual
DR. BLAKE JORDAN GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260
(317) 338-2345
Mailing address
4420 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46205-1728
(317) 925-1467
(317) 925-9850
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01073655A
IN
207P00000X
Emergency Medicine Physician
35.154600
OH
207P00000X
Emergency Medicine Physician
ME180410
FL
Other
Enumeration date
05/29/2011
Last updated
04/13/2026
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