Individual
ELAINE E. POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
516 EAST NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 726-8671
Mailing address
4320 DIPLOMACY DR, ATTN: SHERRY REEDY, ANCHORAGE, AK 99508-5925
(907) 729-3971
(907) 729-1542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
720
AK
Other
Enumeration date
08/14/2006
Last updated
04/10/2013
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