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Individual
DARRELL MARTIN POLSTER
Active
Individual
DARRELL MARTIN POLSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35084131P
OH
207L00000X
Anesthesiology Physician
G88700
CA
207L00000X
Anesthesiology Physician
Primary
MD171659
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000327106
ANTHEM BLUE SHIELD
—
05
—
200483990
—
IN
05
—
2486493
—
OH
01
—
3494801
AETNA
—
01
—
5781475
AETNA
—
05
—
64079379
—
KY
Enumeration date
11/28/2005
Last updated
11/11/2015
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