(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003540204
Provider Name: HANNAH RAE RUDOLPH
Entity Type: Individual
Taxonomy Code: 363A00000X
Specialty: Physician Assistant
License Number: 10004442A
Most Important Dates
Enumeration Date: 07/13/2022
Last Updated: 08/06/2024
Provider Practice Location
2800 S STATE ROAD 135 STE 250
GREENWOOD
IN
461436223
Practice Location Phone/Fax
Phone: 3173001788
Fax: 3177438103
Provider Mailing Location
111 NEW HAMPSHIRE AVE STE 2
PORTSMOUTH
NH
038012864
Provider Mailing Phone/Fax
Phone:
Fax: