| NPI | 1578052882 |
|---|---|
| Other Name | T. ALEX POLSTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61161867) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD.61161867) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2021-11-10 |