Dr. Rebecca R Small, MD
Hospitalist in Indianapolis, IN. Individual provider (NPI-1).
NPI number1194720003
StatusActive
Last updated in NPPESSep 17, 2014
Details
- NPI
- 1194720003
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rebecca R Small
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2005
- Last updated
- Sep 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 01063143A | IN | Yes |
| 207Q00000X | Family Medicine | 11291 | NH | |
| 207Q00000X | Family Medicine | 01063143A | IN |
Practice location
550 University BlvdUh 1501
Indianapolis, IN 46202-5149
Phone 317-948-0763 · Fax 317-948-0503
Mailing address
250 N Shadeland AveSte 130 - Provider Enrollment
Indianapolis, IN 46219-4959
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