Provider Demographics
NPI:1851449383
Name:POLLOCK, HILTON ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:HILTON
Middle Name:ROBERT
Last Name:POLLOCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 WARREN WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5241
Mailing Address - Country:US
Mailing Address - Phone:775-825-3838
Mailing Address - Fax:775-825-3890
Practice Address - Street 1:3645 WARREN WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5241
Practice Address - Country:US
Practice Address - Phone:775-825-3838
Practice Address - Fax:775-825-3890
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3744207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV02016013Medicaid
NVCC0661OtherBLUE CROSS BLUE SHIELD
NV02016013Medicaid
NVCC0661OtherBLUE CROSS BLUE SHIELD