Individual
JARRELL HUYNH RAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01094457A
IN
207Q00000X
Family Medicine Physician
DR.0071311
CO
Other
Enumeration date
03/28/2020
Last updated
12/02/2024
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