Individual
BROOKE L SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-7666
(317) 880-0448
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 948-9174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003134A
IN
363AM0700X
Medical Physician Assistant
10003134A
IN
Other
Enumeration date
01/07/2021
Last updated
09/30/2025
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