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Individual

DR. CLARK M. POLLITT

Active
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Individual

DR. CLARK M. POLLITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0087461
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009926705
ALABAMA EDS MEDICAID
AL
05
267017800
FL
01
68370
BCBS OF ALABAMA
AL
01
79165
BCBS
FL
01
P00030956
RR MEDICARE
FL
Enumeration date
05/02/2006
Last updated
09/16/2016
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