JON C POLING

RANCHO MIRAGE, CA
NPI1386744282
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA12140)
Enumeration Date2006-09-22
Last Update Date2007-07-09
Business Address
-- JON C POLING PA
35200 BOB HOPE DR
RANCHO MIRAGE, CA 92270-1748
Phone number: 760-328-8884
Mailing Address
-- JON C POLING PA
35200 BOB HOPE DR
RANCHO MIRAGE, CA 92270-1748
Phone number: 760-328-8884