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Individual

DR. JAMES POLKABLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9524 W CAMELBACK RD, GLENDALE, AZ 85305-3104
(623) 872-8822
(623) 772-8216
Mailing address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2654
(480) 961-1865
(480) 961-4605

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
649
AZ

Other

Enumeration date
10/10/2005
Last updated
05/07/2014
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