Hannah Rae Rudolph

NPI #1003540204 in Greenwood, Indiana

Provider Information

NPI Number: 1003540204
Entity Type: Individual
Name: Hannah Rae Rudolph
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jul 13, 2022
Last Updated: Aug 6, 2024

Practice Location

Address: 2800 S STATE ROAD 135 STE 250
City: Greenwood
State: Indiana
ZIP Code: 46143-6223
Phone: (317) 300-1788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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