Jennifer Mariko Izumi Divine, MD - Indianapolis, IN

Jennifer Mariko Izumi Divine, MD

Emergency Medicine Physician in Indianapolis, Indiana

NPI 1588127468

Jennifer Mariko Izumi Divine is a Emergency Medicine Physician based in Indianapolis, IN. Jennifer Mariko Izumi Divine practices in Indianapolis, IN and has the professional credentials of MD. The NPI Number for Jennifer Mariko Izumi Divine is 1588127468 and holds a License No. (Indiana).

The current practice location address for Jennifer Mariko Izumi Divine is 1701 N Senate Blvd # Ag012, Indianapolis, IN and can be reached out via phone at 317-962-3525.

Location: 1701 N Senate Blvd # Ag012, Indianapolis, IN, 46202-1239

NPI Number

1588127468

Provider Name

Jennifer Mariko Izumi Divine

Credential

Provider Entity Type

Individual

Gender

Female

Address

1701 N Senate Blvd # Ag012, Indianapolis, IN, 46202-1239

Phone Number

317-962-3525

Fax Number

Provider Enumeration Date

04/09/2019

Last Update Date

03/10/2024

Address

1701 N Senate Blvd # Ag012

City

Indianapolis

State

Indiana

Zip

46202-1239

Phone Number

317-962-3525

Fax Number

Address

1701 N Senate Blvd # Ag012

City

Indianapolis

State

Indiana

Zip

46202-1239

Phone Number

317-962-3525

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Emergency Medicine

Speciality

Taxonomy

207P00000X

License No.

01087594A (Indiana)

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

(Indiana)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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