Individual
DR. RANDALL ADAM POLGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2101 SENDA DE DANIEL, SANTA FE, NM 87501-8361
(408) 373-1358
Mailing address
1651 GALISTEO ST, STE 12, SANTA FE, NM 87505-2113
(408) 373-1358
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2146
NM
Other
Enumeration date
09/23/2016
Last updated
01/08/2017
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