Individual
ELIZABETH CLAIRE MAZZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1550 E COUNTY LINE RD STE 300, INDIANAPOLIS, IN 46227
(317) 497-2300
(317) 497-2502
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01082196A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027442
—
IN
Enumeration date
05/18/2015
Last updated
07/08/2019
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