Individual
DR. ANTHONY G POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2778 N WEBB RD, WICHITA, KS 67226-8112
(316) 631-1600
(316) 631-1698
Mailing address
2778 N WEBB RD, WICHITA, KS 67226-8112
(316) 631-1600
(316) 631-1698
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0416666
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084720A
—
KS
05
—
100084720D
—
KS
01
—
100705005
MEDICARE PTAN
KS
01
—
612830
FIRSTGUARD
KS
Enumeration date
02/08/2006
Last updated
12/02/2009
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