Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | POD0000743 | CO |
NPI | 1013206317 |
---|---|
Provider Name | Ronnie Leann Pollard |
First Address | Denver, CO 80205-5025 |
Second Address | Denver, CO 80205-5025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 10/04/2018 |