Individual
RAPHAEL E. POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7171
(614) 293-3465
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-7171
(614) 293-3465
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
35121856
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088427
—
OH
01
—
P01387015
RAILROAD MEDICARE
OH
Enumeration date
09/14/2006
Last updated
03/05/2018
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