Eagle Creek Internal Medicine Pc

NPI 1316013576 - Internal Medicine - 207R00000X

NPI Details
NPI 1316013576
Enumeration Date 11/28/2006
Last Updated 08/06/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GENE GENE
Position OWNER
Phone (317) 328-6333
Fax (317) 328-6330
Practice Location
5471 GEORGETOWN RD
STE A
INDIANAPOLIS IN, 46254-5794, US
Phone (317) 328-6333
Fax (317) 328-6330
Business Location
5471 GEORGETOWN RD
STE A
INDIANAPOLIS IN, 46254-5794, US
Phone (317) 328-6333
Fax (317) 328-6330
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Eagle Creek Internal Medicine Pc NPI is 1316013576, taxonomy code is 207R00000X Eagle Creek Internal Medicine Pc physically located at 5471 Georgetown Rd, Indianapolis IN, 46254-5794. NPI Number 1033115704 has the healthcare provider type.

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1316013576 NPI number is provided on an as is basis without warranty of any kind. 1316013576 is maintained by the National Plan & Provider Enumeration System. The contents of Eagle Creek Internal Medicine Pc are for informational purposes only.