NPI 1366729196

Jasper Earl Gray

Practitioner Independent Duty Corpsman Whistler, AL

Practice location

Address: 3727 Weco St, Whistler, AL 36612-1155
Phone: (251) 458-9440
Mailing address: 3727 Weco St, Whistler, AL 36612

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1366729196
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2011
Record last updated: 8 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.