Individual
DR. NICHOLAS ROBERT POLISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7700 S BROADWAY, LITTLETON, CO 80122-2602
(303) 730-8900
(303) 738-7755
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0005955
CO
208M00000X
Hospitalist Physician
Primary
0005955
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000141319
—
CO
Enumeration date
06/13/2016
Last updated
02/01/2024
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