Individual
HOLLY SAMANTHA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-5000
Mailing address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01087524A
IN
208000000X
Pediatrics Physician
MMD.52452.LL
SC
Other
Enumeration date
05/25/2018
Last updated
03/05/2025
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