Ilir Polovina, NP-C

NPI 1952540999 · on the registry since 2009

Practice

Address: 12345 W Bend Dr Ste 200
Saint Louis, MO 63128
Phone: (314) 843-8000
Fax: (314) 843-3004
Organisation at this address: Pure Imaging Llc
Sw Anesthesia Llc
Mercy South Asc Llc
Sam Hawatmeh, M D, P C
South County Urological, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: 363L00000X
363L00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-02-16

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 Missouri