ILIR POLOVINA

SAINT LOUIS, MO
NPI1952540999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  2003005393)
Enumeration Date2009-02-16
Last Update Date2009-02-16
Business Address
Mr. ILIR POLOVINA NP-C
12345 W BEND DR STE 200
SAINT LOUIS, MO 63128-2253
Phone number: 314-843-8000
Mailing Address
Mr. ILIR POLOVINA NP-C
12345 W BEND DR STE 200
SAINT LOUIS, MO 63128-2253
Phone number: 314-843-8000