Individual
JEB RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 N MADISON AVE, ANDERSON, IN 46011-3453
(765) 298-2900
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01072050
IN
207R00000X
Internal Medicine Physician
57017222
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01424396
RAIL ROAD PTAN
IN
Enumeration date
11/03/2009
Last updated
04/14/2015
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