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Organization
POLAR STAR MEDICAL
Active
Organization
POLAR STAR MEDICAL
Active
Other names
Route 66 Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
NITISH AGGARWAL MD (CEO)
(725) 222-1441
Entity
Organization
Contact information
Practice address
1510 E WAGON WHEEL LN STE 105, FORT MOHAVE, AZ 86426-6698
(904) 994-5560
Mailing address
1510 E WAGON WHEEL LN STE 110, FORT MOHAVE, AZ 86426-6698
(904) 994-5560
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
10/14/2025
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