Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 122922 | CA |
NPI | 1023304573 |
---|---|
Provider Name | Dr. Allison Gannon Pollock |
First Address | Oakland, CA 94620-1395 |
Second Address | Oakland, CA 94609-3108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2011 |
Last Update Date | 21/03/2017 |