Jaron Polatis

NPI 1225676000 · on the registry since 2019

Practice

Address: 3100 Channing Way
Idaho Falls, ID 83404
Phone: (208) 529-6264
Organisation at this address: Kenneth E Krell Md Pa
Ihc Health Services Inc
Neonatal Associates, Pllc
Intermountain Anesthesia, Pa
Eastern Idaho Intensivist Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 206

Registry record

Primary taxonomy: 367500000X
367500000X
Also registered as: 163WC0200X
Licence states on file: UT, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho