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
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