Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 02004422 | IN |
N | 208000000X | Pediatrician | 34.010126 | OH |
NPI | 1003088139 |
---|---|
Provider Name | Dr. Melissa S Rice |
First Address | Fort Wayne, IN 46845-1703 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2008 |
Last Update Date | 08/01/2018 |