Individual
DR. STEVEN M POLATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1623 HOSPITAL LOOP, OWYHEE, NV 89832-0103
(775) 757-2415
(775) 757-2066
Mailing address
2069 E FELDSPAR CT, BOISE, ID 83712-8456
(208) 869-1965
(208) 345-1137
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
0900
ID
152WC0802X
Corneal and Contact Management Optometrist
Primary
2940AT
OR
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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