Organization
CLAYTON R POLOWY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE CASILLAS (ADMINISTRATOR)
(480) 969-4634
Entity
Organization
Contact information
Practice address
1432 S DOBSON RD, 106, MESA, AZ 85202-4768
(480) 969-3637
(480) 969-6568
Mailing address
1432 S DOBSON RD, 106, MESA, AZ 85202-4768
(480) 969-3637
(480) 969-6568
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86460401
—
AZ
Enumeration date
06/29/2007
Last updated
04/04/2008
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