Individual
DR. STEPHEN H POLLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 RONALD REAGAN PKWY, STE 318, AVON, IN 46123-6910
(317) 217-2600
(317) 217-2606
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01024982
IN
207R00000X
Internal Medicine Physician
Primary
01024982A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100060460
—
IN
Enumeration date
06/15/2006
Last updated
01/06/2021
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