Individual
MR. STEVAN A POLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10430 W ROYAL PALM RD, PEORIA, AZ 85345
(602) 481-8746
(623) 440-5381
Mailing address
10430 W ROYAL PALM RD, PEORIA, AZ 85345
(602) 481-8746
(623) 440-5381
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH11503H
AZ
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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