Organization
METHODIST MEDICAL GROUP PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN H POLLOM MD (PRESIDENT)
(317) 962-1773
Entity
Organization
Contact information
Practice address
950 N MERIDIAN ST, STE 500, INDIANAPOLIS, IN 46204-1077
(317) 962-4836
Mailing address
250 N SHADELAND AVE, SUITE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-4836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239170
—
IN
05
—
200002300
—
IN
Enumeration date
06/04/2006
Last updated
02/16/2012
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