Evette Polczynski, Md, Llc

NPI 1386726859 - Internal Medicine - 207R00000X

NPI Details
NPI 1386726859
Enumeration Date 10/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EVETTE EVETTE
Position OWNER
Phone (970) 264-2218
Fax (970) 264-2219
Practice Location
103 PAGOSA ST
PAGOSA SPRINGS CO, 81147, US
Phone (970) 264-2218
Fax (970) 264-2219
Business Location
PO BOX 3483
116 ROCK RIDGE CT
PAGOSA SPRINGS CO, 81147-3483, US
Phone (970) 264-9138
Fax (970) 264-2219
Toxanomy
Taxonomy Code 207R00000X
License State Colorado
License Number 42002
Remove 1386726859 NPI Number
 

According to our database, Evette Polczynski, Md, Llc NPI is 1386726859, taxonomy code is 207R00000X and license number is 42002, license state is located at Colorado. Evette Polczynski, Md, Llc physically located at 103 Pagosa St, Pagosa Springs CO, 81147. NPI Number 1033115704 has the healthcare provider type.

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1386726859 NPI number is provided on an as is basis without warranty of any kind. 1386726859 is maintained by the National Plan & Provider Enumeration System. The contents of Evette Polczynski, Md, Llc are for informational purposes only.