Organization
BOUNTIFUL
Active
Other names
CapitolMed LLC dba Polaris Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ARTHUR HALL MD (OWNER)
(201) 259-0289
Entity
Organization
Contact information
Practice address
25 JEFFERSON WAY STE 102, KETCHIKAN, AK 99901-5953
(201) 259-0289
(973) 215-2052
Mailing address
25 JEFFERSON WAY STE 102, KETCHIKAN, AK 99901-5953
(201) 259-0289
(973) 215-2052
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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