Individual
JACOB ELDON POLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W FORT ST, #111R, BOISE, ID 83702-4501
(208) 422-1314
Mailing address
BOISE VAMC, 500 WEST FORT ST. #111R, BOISE, ID 83702-9700
(208) 422-1314
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10104222-1205
UT
Other
Enumeration date
04/09/2015
Last updated
11/12/2021
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