Provider Demographics
NPI:1154350270
Name:POLSON, JULIE ELISABETH (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ELISABETH
Last Name:POLSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:POLSON
Other - Last Name:HINKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4500 E 9TH AVE
Mailing Address - Street 2:SUITE 720S
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3900
Mailing Address - Country:US
Mailing Address - Phone:303-355-3525
Mailing Address - Fax:303-355-0255
Practice Address - Street 1:4500 E 9TH AVE
Practice Address - Street 2:SUITE 720S
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3900
Practice Address - Country:US
Practice Address - Phone:303-355-3525
Practice Address - Fax:303-355-0255
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5516207RG0100X
CODR46001207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology