Search › Pennsylvania › 163WC0200X
Brendon Polson
NPI 1760197743 · on the registry since 2023 · sole proprietor
Practice
- Address
- 56 Cloverfield Ct
Mifflintown, PA 17059 - Phone
- (717) 695-1564
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-13
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 Pennsylvania