NPI 1063628121

Rebecca Jane Anderson, DO

Practitioner General Practice Physician Indianapolis, IN

Practice location

Address: 5610 Crawfordsville Rd STE 103, Indianapolis, IN 46224-3714
Phone: (317) 247-0119
Fax: (317) 247-0614

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 02000810 (IN)

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Registry record

NPI: 1063628121
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2007
Record last updated: 23 Jan 2019

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.