Individual
SIDNEY POLZELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(268) 651-1937
Mailing address
115 WOODFIELD PL, DAYTON, OH 45459-4629
(513) 709-7980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008665RX
OH
Other
Enumeration date
01/01/2020
Last updated
09/23/2024
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