Eagle Creek Dermatology

NPI #1053561928 in Indianapolis, Indiana

Provider Information

NPI Number: 1053561928
Entity Type: Organization
Organization Name: Eagle Creek Dermatology
Primary Specialty: Dermatology
Enumeration Date: Sep 26, 2008
Last Updated: Sep 11, 2013

Practice Location

Address: 6820 PARKDALE PL
Address 2: SUITE 211
City: Indianapolis
State: Indiana
ZIP Code: 46254-6600
Phone: (317) 329-7050

Authorized Official

Name: DR. INGRIDA IVETA OZOLS, MD
Title: PARTNER
Phone: (317) 329-7050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Dermatology - Clinical & Laboratory Dermatological Immunology — Clinical & Laboratory Dermatological Immunology	207NI0002X

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