OrganizationActive
Eagle Creek Dermatology
NPI 1053561928 · Clinical & Laboratory Dermatological Immunology Physician · Indianapolis, IN
Provider details
- NPI number
- 1053561928
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Dermatological Immunology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Ingrida Ozols, Partner
- License
- 01027554 (IN)
Practice location
6820 Parkdale Pl
Suite 211
Indianapolis, IN 46254-6600
Phone: (317) 329-7050
Fax: (317) 328-6809
Mailing address
6820 Parkdale Pl
Indianapolis, IN 46254-6600
Registry dates
- Enumerated
- 2008-09-26
- Last updated
- 2013-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.