MEDICARE: ANTHONY L POLLARD DO A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1518189745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY L POLLARD DO A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1331 S RAINBOW BLVD
Second Line	:	SUITE 201
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-9238
Country	:	US
Telephone Number	:	702-255-9300
Fax Number	:	702-255-0846

Provider Business Practice Location Address
First Line	:	1341 S RAINBOW BLVD
Second Line	:	SUITE 101
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-9069
Country	:	US
Telephone Number	:	702-255-4200
Fax Number	:	702-255-0260

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MRS. DENISE DALZELL
Credential	:
Telephone Number	:	702-255-9300

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	02/24/2009

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