Organization
DR ELLIOTT YOLLES PSC
Active
Organization
DR ELLIOTT YOLLES PSC
Active
Parent organization
DR. ELLIOTT YOLLES PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. ELLIOTT YOLLES PSC
Authorized official
DR. ELLIOTT A YOLLES M.D. (OWNER/PHYSICIAN)
(317) 872-8772
Entity
Organization
Contact information
Practice address
2020 W 86TH ST, SUITE 104, INDIANAPOLIS, IN 46260-1931
(317) 872-8772
(317) 872-2383
Mailing address
2020 W 86TH ST, SUITE 104, INDIANAPOLIS, IN 46260-1931
(317) 872-8772
(317) 872-2383
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01025241A
IN
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100057550
—
IN
Enumeration date
01/11/2008
Last updated
05/03/2010
Update your record
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