Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EAGLE CREEK DERMATOLOGY
Active OrganizationEAGLE CREEK DERMATOLOGY is a Clinical & Laboratory Dermatological Immunology organization located in INDIANAPOLIS, Indiana. NPI 1053561928 is currently active in the NPPES registry. Verify at CMS.
Clinical & Laboratory Dermatological Immunology · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1053561928
- Provider Type
- Organization
- NPI Issued
- Sep 26, 2008 (17.698623422488 yrs)
- Last Updated
- Sep 11, 2013
- Licenses
-
01027554 (IN)01057248 (IN)01024873 (IN)
Practice Information
- Address
-
6820 PARKDALE PLSUITE 211INDIANAPOLIS, IN, 462546600Browse IN providers · Browse ZIP 46254
- Phone
- 3173297050
- Fax
- 3173286809
- Primary Specialty
-
Clinical & Laboratory Dermatological Immunology
207NI0002X
- Additional Specialty
- Clinical & Laboratory Dermatological Immunology
- Additional Specialty
- Clinical & Laboratory Dermatological Immunology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.