Organization
EZ CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN MASIH NP (PRESIDENT)
(317) 893-2884
Entity
Organization
Contact information
Practice address
494 S EMERSON AVE STE I, GREENWOOD, IN 46143
(317) 698-2155
Mailing address
6533 FIESTA ST, INDIANAPOLIS, IN 46237-4423
(317) 698-2155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006967
IN
Other
Enumeration date
04/25/2018
Last updated
06/06/2018
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