Provider Demographics
NPI:1407950108
Name:POGGIOLI, GEORGE J JR (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:J
Last Name:POGGIOLI
Suffix:JR
Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:PO BOX 3277
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80155-3277
Mailing Address - Country:US
Mailing Address - Phone:720-279-1388
Mailing Address - Fax:720-249-0219
Practice Address - Street 1:13111 E BRIARWOOD AVE
Practice Address - Street 2:305
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3930
Practice Address - Country:US
Practice Address - Phone:720-279-1388
Practice Address - Fax:720-249-0219
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2014-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO45436207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology