Organization · Type 2 NPI

Eagle Creek Dermatology

Clinical & Laboratory Dermatological Immunology Physician · Indianapolis, IN

NPI number 1053561928 Active

Practice location

6820 Parkdale Pl, Suite 211
Indianapolis, IN 46254-6600

Fax (317) 328-6809

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X01027554 (IN)
Clinical & Laboratory Dermatological Immunology Physician Primary 207NI0002X01024873 (IN)
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X01057248 (IN)

Clinical & Laboratory Dermatological Immunology Physician: A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

29 other providers at this address

About NPI 1053561928

Eagle Creek Dermatology's National Provider Identifier is 1053561928, issued on Sep 26, 2008. The primary taxonomy on file is Clinical & Laboratory Dermatological Immunology Physician (207NI0002X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 11, 2013.