| Doctor Name: | DR. CALVIN LEE POLLAND |
| NPI Number: | 1407034291 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 16647 |
| Business Practice Address: | 559 Vincent St 21 Mdos/sgof - Family Practice Peterson Afb, CO - 809141540 |
| Business Phone Number: | 7195562273 |
| Business Fax Number: | 8668677926 |
| Mailing Address: | 559 Vincent St, 21 Mdos/sgof - Family Practice PETERSON AFB |
| State: | CO |
| Postal Code: | 809141540 |
| Phone Number: | 7195562273 |
| Fax Number: | 8668677926 |
| NPI Enumeration Date: | 02/05/2008 |
| NPI Last Update Date: | 05/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 16647 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |