| Dr Jill D Pollock Pc | |
|
1115 N Grand Ave Suite 100 Pueblo CO 81003-2867 | |
| (719) 562-4414 | |
| (719) 562-4415 |
| Full Name | Dr Jill D Pollock Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1115 N Grand Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Jill Pollock (PRESIDENT) |
| Authorized Official Contact | 7195624414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jill D Pollock Pc 1115 N Grand Ave Suite 100 Pueblo CO 81003-2867 Ph: (719) 562-4414 | Dr Jill D Pollock Pc 1115 N Grand Ave Suite 100 Pueblo CO 81003-2867 Ph: (719) 562-4414 |
| NPI Number | 1003086968 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003086968 | NPI | - | NPPES |
| 07989536 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1020 (Colorado) | Primary |
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