NPI | 1629618061 |
---|---|
Doing Business As | POLARA HEALTH |
Entity Type | Organization |
Authorized Contact | LINDA DIANE MCLAIN Credentialing Specialist 928-445-5211 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Enumeration Date | 2020-01-14 |
Last Update Date | 2021-06-14 |