| Doctor Name: | DR. REBECCA JANE MUSSER ANDERSON |
| NPI Number: | 1063628121 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 02000810 |
| Business Practice Address: | 5610 Crawfordsville Rd Suite 1700 Indianapolis, IN - 462243727 |
| Business Phone Number: | 3172470119 |
| Business Fax Number: | 3172470614 |
| Mailing Address: | 5610 Crawfordsville Rd, Suite 1700 INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462243727 |
| Phone Number: | 3172470119 |
| Fax Number: | 3172470614 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 02000810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |