Organization
POLAR STAR MEDICAL
Active
Other names
Route 66 Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
NITISH AGGARWAL MD (CEO)
(725) 222-1441
Entity
Organization
Contact information
Practice address
1510 E WAGON WHEEL LN STE 105, FORT MOHAVE, AZ 86426-6698
(904) 994-5560
Mailing address
1510 E WAGON WHEEL LN STE 110, FORT MOHAVE, AZ 86426-6698
(904) 994-5560
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
10/14/2025
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