Individual
STACY POLLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
E-11195
AR
207VX0000X
Obstetrics Physician
Primary
E-11195
AR
Other
Enumeration date
04/08/2014
Last updated
08/06/2018
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