Individual
CHARLENE ANNE POLLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-8892
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1400
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
221823-4405
UT
Other
Enumeration date
09/07/2007
Last updated
10/25/2010
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