Individual
MRS. JUNE HAZEL POLLYDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2003 STULTS RD STE 215, HUNTINGTON, IN 46750-1291
(260) 355-3960
(260) 355-3969
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01056412A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200384310
—
IN
05
—
65937823
—
KY
Enumeration date
12/29/2006
Last updated
08/29/2023
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