Individual
AMANDA POLCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 E PLANK RD, ALTOONA, PA 16602-4154
(814) 946-3801
Mailing address
128 COVE LN, BEDFORD, PA 15522-5161
(814) 215-7547
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058051
PA
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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