Individual
MR. EUFEMIO CONTRERAS POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1209 N MILLER RD, BUCKEYE, AZ 85326-1043
(623) 386-5785
(623) 386-6673
Mailing address
9250 N 3RD ST, SUITE 4010, PHOENIX, AZ 85020-2437
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1426
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-0783428
TAX-ID
AZ
Enumeration date
04/12/2007
Last updated
08/01/2012
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