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Individual

DR. DAVID P. GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
115 W 19TH ST, INDIANAPOLIS, IN 46202-1310
(317) 924-4022
(317) 924-4233
Mailing address
115 W 19TH ST, INDIANAPOLIS, IN 46202-1310
(317) 924-4022
(317) 924-4233

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
010372269A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000084980
ANTHEM PIN (ICCC)
IN
05
100261760A
IN
01
2245012
CIGNA PIN
IN
05
64873433
KY
Enumeration date
02/03/2006
Last updated
07/03/2008
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