Provider Demographics
NPI:1437302858
Name:POLEC, WILL (NMD)
Entity Type:Individual
Prefix:DR
First Name:WILL
Middle Name:
Last Name:POLEC
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 N CAMPBELL AVE
Mailing Address - Street 2:SUITE 234
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6584
Mailing Address - Country:US
Mailing Address - Phone:520-299-4100
Mailing Address - Fax:520-299-4101
Practice Address - Street 1:4320 N CAMPBELL AVE
Practice Address - Street 2:SUITE 234
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6584
Practice Address - Country:US
Practice Address - Phone:520-299-4100
Practice Address - Fax:520-299-4101
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ01-635175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ01-635OtherSTATE OF ARIZONA NATUROPATHIC PHYSICIANS BOARD OF MEDICAL EXAMINERS