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Organization

DEPT. OF CORRECTIONS-DWCF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NATHAN POLLACK MD (DIRECTOR OF MEDICAL SERVICES)
(303) 307-2600
Entity
Organization

Contact information

Practice address
3600 HAVANA ST, DENVER, CO 80239-3266
(303) 307-2600
Mailing address
3600 HAVANA ST, DENVER, CO 80239-3266
(303) 307-2600

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
87883
CO

Other

Enumeration date
12/07/2006
Last updated
08/08/2008
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