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Jerrold Polterock, MD
Otolaryngology Physician in Oakdale, California
NPI 1578536306

Jerrold Polterock is a Otolaryngology Physician based in Oakdale, CA. Jerrold Polterock practices in Oakdale, CA and has the professional credentials of MD. The NPI Number for Jerrold Polterock is 1578536306 and holds a License No. G16347 (California).

The current practice location address for Jerrold Polterock is 250 S Oak Ave, Oakdale, CA and can be reached out via phone at 209-845-0100 and via fax at 209-845-0130.

Location: 250 S Oak Ave, Oakdale, CA, 95361-3572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578536306
Provider Name
Jerrold Polterock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
250 S Oak Ave, Oakdale, CA, 95361-3572
Phone Number
209-845-0100
Fax Number
209-845-0130
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ07922Z 01 CA BLUE SHIELD
00G163471 05 CA
institution
Provider Business Practice Location Address Details
Address
250 S Oak Ave
City
Oakdale
State
California
Zip
95361-3572
Phone Number
209-845-0100
Fax Number
209-845-0130
person
Provider Business Mailing Address Details
Address
250 S Oak Ave
City
Oakdale
State
California
Zip
95361-3572
Phone Number
209-845-0100
Fax Number
209-845-0130
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
G16347 (California)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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