Individual
DR. CLIFTON WAYNE POLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21 N MIAMI ST, WEST MILTON, OH 45383-1831
(937) 698-5171
(937) 698-3600
Mailing address
21 N MIAMI ST, WEST MILTON, OH 45383-1831
(937) 698-5171
(937) 698-3600
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3302/837
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0527246
—
OH
Enumeration date
12/29/2005
Last updated
06/18/2008
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