Individual
DR. JAMIE M. POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 COLORADO AVE STE C, PUEBLO, CO 81004-2008
(719) 696-9828
(719) 696-9862
Mailing address
509 COLORADO AVE, SUITE C, PUEBLO, CO 81004-2008
(719) 696-9828
(719) 696-9862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
44011
CO
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
44011
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25833375
—
CO
Enumeration date
03/02/2007
Last updated
07/24/2017
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