Individual
DEDRIE M POLAKOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
13041 N DEL WEBB BLVD, SUN CITY, AZ 85351-3034
(623) 977-7201
Mailing address
13041 N DEL WEBB BLVD, SUN CITY, AZ 85351-3034
(623) 977-7201
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2654
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
701012
—
AZ
Enumeration date
01/25/2006
Last updated
07/08/2007
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