Individual
ERIKA POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0006453
CO
390200000X
Student in an Organized Health Care Education/Training Program
0006453
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0006453
CO
Other
Enumeration date
04/15/2017
Last updated
10/04/2023
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