Individual
DR. JONATHAN PATRICK POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-3811
Mailing address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-3811
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101259514
VA
207RC0000X
Cardiovascular Disease Physician
29281
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05684216
—
MS
Enumeration date
02/07/2014
Last updated
05/06/2022
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