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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