Provider Demographics
NPI:1013206317
Name:POLLARD, RONNIE LEANN (DPM)
Entity Type:Individual
Prefix:
First Name:RONNIE
Middle Name:LEANN
Last Name:POLLARD
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:RONNIE
Other - Middle Name:LEANN
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:PO BOX 639
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-0639
Mailing Address - Country:US
Mailing Address - Phone:303-814-1082
Mailing Address - Fax:303-814-0020
Practice Address - Street 1:2352 MEADOWS BLVD STE 270
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8412
Practice Address - Country:US
Practice Address - Phone:303-814-1082
Practice Address - Fax:303-814-0020
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
COPOD0000743213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program