Individual provider · Type 1 NPI
Jonathan Ray, DPM
Foot & Ankle Surgery Podiatrist · Glendale, AZ
NPI number
1003378308
Active
Practice location
5750 W Thunderbird Rd G700
Glendale, AZ 85306-4660
Fax (602) 938-0400
Mailing address
5750 W Thunderbird Rd, G700
Glendale, AZ 85306-4691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | POD-001045 (AZ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1003378308
Jonathan Ray, DPM's National Provider Identifier is 1003378308, issued on Apr 4, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Glendale, AZ. The record was last updated on Apr 25, 2023.