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Individual

DR. BARRY J POLLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19550 E 39TH ST S STE 105, INDEPENDENCE, MO 64057-1926
(816) 350-4215
(816) 350-4220
Mailing address
19550 E 39TH ST S STE 105, INDEPENDENCE, MO 64057-1926
(816) 350-4215
(816) 350-4220

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2017000597
MO
207T00000X
Neurological Surgery Physician
225485
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053374835
MO
Enumeration date
04/11/2006
Last updated
01/27/2022
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