Provider Demographics
NPI:1053565465
Name:POLLARD, JEFFREY DIERKER (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:DIERKER
Last Name:POLLARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2880 STEVENS CREEK BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4622
Mailing Address - Country:US
Mailing Address - Phone:408-248-7662
Mailing Address - Fax:408-248-2388
Practice Address - Street 1:2880 STEVENS CREEK BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4622
Practice Address - Country:US
Practice Address - Phone:408-248-7662
Practice Address - Fax:408-248-2388
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA76223207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery