Healthcare Provider Details

I. General information

NPI: 1952341158
Provider Name (Legal Business Name): ROBERT E POLLARD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 09/13/2021
Certification Date: 09/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 DAWKINS DR
LEWISBURG WV
24901-9674
US

IV. Provider business mailing address

231 DAWKINS DR
LEWISBURG WV
24901-9674
US

V. Phone/Fax

Practice location:
  • Phone: 304-645-0870
  • Fax: 304-645-0970
Mailing address:
  • Phone: 304-645-0870
  • Fax: 304-645-0970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License NumberWV17486
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: