| NPI | 1578517108 |
|---|---|
| Doing Business As | POLARA HEALTH |
| Doing Business As | RUTH STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAMARA PLAYER CEO 928-445-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: AZ OTC6571) |
| Additional Taxonomies | 261Q00000X (Licence: AZ BH1809) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-06-14 |