Individual
ETHAN POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
15046 S GALLANT DR, BLUFFDALE, UT 84065-4987
(801) 558-3222
Mailing address
15046 S GALLANT DR, BLUFFDALE, UT 84065-4987
(801) 558-3222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12115707-4405
UT
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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