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Individual

MARC E. POLLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 SOUTH OAK AVENUE, OAKDALE, CA 95361-3519
(209) 847-3011
Mailing address
P.O. BOX 10970, WESTMINSTER, CA 92685-0970

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
G51983
CA
207P00000X
Emergency Medicine Physician
G51983
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G519830
CA
Enumeration date
08/11/2006
Last updated
12/09/2008
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