Individual
DR. JASON J SPOLJORIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 776-8000
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01063784A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000711474
ANTHEM
IN
05
—
200885600
—
IN
01
—
P00936229
RRMEDICARE
IN
Enumeration date
01/08/2008
Last updated
07/23/2025
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