Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rdm Surgical Assistant

Organization Surgical Physician Assistant · NPI 1265054712

Rdm Surgical Assistant is a Surgical Physician Assistant in Depauw, Indiana. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

10081 Fredericksburg Rd NW
Depauw, IN 47115-8629
Phone: (812) 267-6695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1265054712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Autry — Owner · (812) 267-6695
NPI enumeratedMay 7, 2020
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020
Mailing address10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629

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