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Organization
EMERGENCY MEDICAL GROUP, INC
Active
Organization
EMERGENCY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIVINA COLLEEN REYES NP (STAFF NURSE PRACTITIONER)
(317) 962-8880
Entity
Organization
Contact information
Practice address
1701 N SENATE BLVD, RM AG001, INDIANAPOLIS, IN 46202-1239
(317) 962-8880
(317) 962-7086
Mailing address
1701 N SENATE BLVD, RM AG001, INDIANAPOLIS, IN 46202-1239
(317) 962-8880
(317) 962-7086
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
71002749A
IN
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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