Organization
EVETTE POLCZYNSKI, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVETTE POLCZYNSKI MD (OWNER)
(970) 264-9138
Entity
Organization
Contact information
Practice address
103 PAGOSA ST, PAGOSA SPRINGS, CO 81147
(970) 264-2218
(970) 264-2219
Mailing address
PO BOX 3483, 116 ROCK RIDGE CT, PAGOSA SPRINGS, CO 81147-3483
(970) 264-9138
(970) 264-2219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42002
CO
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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