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Individual
DR. PHILLIP POLSTER
Active
Individual
DR. PHILLIP POLSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CAOPT5319TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03275
SPECTERA
CA
01
—
086510
HEALTH NET
CA
01
—
47023
SAFEGUARD HMO
CA
01
—
48737
SAFEGUARD PPO
CA
01
—
6199
MEDICAL EYE SERVICES
CA
05
—
SD0053190
—
CA
Enumeration date
09/08/2006
Last updated
07/08/2007
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