| Evette Polczynski, Md, Llc | |
|
103 Pagosa St Pagosa Springs CO 81147 | |
| (970) 264-2218 | |
| (970) 264-2219 |
| Full Name | Evette Polczynski, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 Pagosa St, Pagosa Springs, Colorado |
| Authorized Official Name and Position | Evette Polczynski (OWNER) |
| Authorized Official Contact | 9702649138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evette Polczynski, Md, Llc Po Box 3483 116 Rock Ridge Ct Pagosa Springs CO 81147-3483 Ph: (970) 264-9138 | Evette Polczynski, Md, Llc 103 Pagosa St Pagosa Springs CO 81147 Ph: (970) 264-2218 |
| NPI Number | 1386726859 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386726859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42002 (Colorado) | Primary |
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