DAVID MICHAEL POLSTON

FORT CAMPBELL, KY
NPI1902178965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  1103385)
Enumeration Date2012-02-06
Last Update Date2012-02-06
Business Address
DAVID MICHAEL POLSTON PA-C
650 JOEL DR ATTENTION: CREDENTIALS OFFICE
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8130
Mailing Address
DAVID MICHAEL POLSTON PA-C
650 JOEL DR ATTENTION: CREDENTIALS OFFICE
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8130
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