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Organization

POLATIS CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD A POLATIS DC (OWNER)
(702) 396-0277
Entity
Organization

Contact information

Practice address
7035 W ANN RD STE 160, LAS VEGAS, NV 89130-3868
(702) 396-0277
Mailing address
7035 W ANN RD STE 160, LAS VEGAS, NV 89130-3868
(702) 396-0277

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
111NN1001X
Nutrition Chiropractor
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B01616
CHIROPRACTIC PHYSICIAN'S BOARD OF NEVADA
NV
Enumeration date
02/10/2022
Last updated
02/10/2022
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