Individual
JONATHAN A. POLIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-7878
(360) 414-7876
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
G43519
CA
207RX0202X
Medical Oncology Physician
Primary
MD61107981
WA
Other
Enumeration date
11/29/2006
Last updated
11/22/2021
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