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Individual

TAMMY L POLIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
6910 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
(317) 621-6337
(317) 621-6366
Mailing address
6626 E. 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-6360
(317) 621-6367

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001561A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000312841
ANTHEM
IN
05
100386940
IN
Enumeration date
07/27/2006
Last updated
03/09/2015
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