Individual
TYLIE POLATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
269 S CANDY LN # 2C, COTTONWOOD, AZ 86326-4158
(928) 634-1331
Mailing address
269 S CANDY LN # 2C, COTTONWOOD, AZ 86326-4158
(928) 634-2251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
02/24/2025
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