Eagle Creek Dermatology

NPI 1053561928 - Dermatology - 207N00000X

NPI Details
NPI 1053561928
Enumeration Date 09/26/2008
Last Updated 09/11/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name INGRIDA IVETA INGRIDA
Position PARTNER
Phone (317) 329-7050
Fax (317) 328-6809
Practice Location
6820 PARKDALE PL
SUITE 211
INDIANAPOLIS IN, 46254-6600, US
Phone (317) 329-7050
Fax (317) 328-6809
Business Location
6820 PARKDALE PL
SUITE 211
INDIANAPOLIS IN, 46254-6600, US
Phone (317) 329-7050
Fax (317) 328-6809
Toxanomy
Taxonomy Code 207N00000X
License State Indiana
License Number 01027554
Remove 1053561928 NPI Number
 

According to our database, Eagle Creek Dermatology NPI is 1053561928, taxonomy code is 207N00000X and license number is 01027554, license state is located at Indiana. Eagle Creek Dermatology physically located at 6820 Parkdale Pl, Indianapolis IN, 46254-6600. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1053561928 NPI number is provided on an as is basis without warranty of any kind. 1053561928 is maintained by the National Plan & Provider Enumeration System. The contents of Eagle Creek Dermatology are for informational purposes only.