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Individual

DR. BRIAN MICHAEL RAPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7303 ROGERS AVE STE 302, FORT SMITH, AR 72903-4105
(479) 452-1188
(479) 452-1196
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 452-1188

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11013873A
IN
2086S0129X
Vascular Surgery Physician
01067593A
IN
2086S0129X
Vascular Surgery Physician
35.127926
OH
2086S0129X
Vascular Surgery Physician
Primary
E-19486
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201106000
IN
Enumeration date
05/23/2008
Last updated
08/20/2025
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