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Stevan Polus
NPI 1588413231 · on the registry since 2024 · sole proprietor
Practice
- Address
- 10430 W Royal Palm Rd
Peoria, AZ 85345 - Phone
- (602) 481-8746
- Fax
- (623) 440-5381
- Organisation at this address
- Peoria Vista Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-15
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 Arizona