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Individual

CHRISTOPHER L POLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
501 AIRPORT RD, BOX 912, RIFLE, CO 81650-8510
(970) 625-2752
Mailing address
23500 US HIGHWAY 160, WALSENBURG, CO 81089-9524
(719) 738-5100

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0003954-CRNA
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05930723
CO
Enumeration date
09/16/2006
Last updated
08/26/2016
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