Jerrold Polterock, MD

NPI #1578536306 in Oakdale, California

Provider Information

NPI Number: 1578536306
Entity Type: Individual
Name: Jerrold Polterock, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Feb 10, 2006
Last Updated: Jun 23, 2011

Practice Location

Address: 250 S OAK AVE
Address 2: SUITE 4
City: Oakdale
State: California
ZIP Code: 95361-3572
Phone: (209) 845-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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