NPI 1053561928

Eagle Creek Dermatology

Organisation Clinical & Laboratory Dermatological Immunology Physician Indianapolis, IN

Practice location

Address: 6820 Parkdale Pl Suite 211, Indianapolis, IN 46254-6600
Phone: (317) 329-7050
Fax: (317) 328-6809

Authorised official

Name: Ingrida Iveta Ozols
Title: Partner
Phone: (317) 329-7050

Registered specialties (3)

Clinical & Laboratory Dermatological Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NI0002X Licence 01024873 (IN)

Other Dermatology providers in Indiana →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 01027554 (IN)

Clinical & Laboratory Dermatological Immunology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NI0002X Licence 01057248 (IN)

Registry record

NPI: 1053561928
Entity type: Organization
NPI issued: 26 Sep 2008
Record last updated: 11 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.