Provider Demographics
NPI:1245657725
Name:SAWYER, POLINA (MD)
Entity type:Individual
Prefix:DR
First Name:POLINA
Middle Name:
Last Name:SAWYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:POLINA
Other - Middle Name:
Other - Last Name:ADVOLODKINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:14155 N 83RD AVE STE 138
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-5652
Mailing Address - Country:US
Mailing Address - Phone:623-271-8666
Mailing Address - Fax:
Practice Address - Street 1:14155 N 83RD AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5639
Practice Address - Country:US
Practice Address - Phone:623-271-8666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-24
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AZ65825207VF0040X
GA79629207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology