| Doctor Name: | DR. EVAN JAY POLLACK |
| NPI Number: | 1588669626 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G56102 |
| Business Practice Address: | 13701 E Mississippi Ave Aurora, CO - 800126141 |
| Business Phone Number: | 3036890088 |
| Business Fax Number: | 3033438011 |
| Mailing Address: | 5749 S Geneva St, GREENWOOD VILLAGE |
| State: | CO |
| Postal Code: | 801113728 |
| Phone Number: | 7204894177 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G56102 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |