Dr Gerald Ira Polukoff, MD | |
1300 N 500 E, Logan, UT 84341-2408 | |
(435) 716-2200 | |
Not Available |
Full Name | Dr Gerald Ira Polukoff |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1300 N 500 E, Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215020045 | NPI | - | NPPES |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710156922 PECOS PAC ID: 1850209420 Enrollment ID: O20040325001015 |
Mailing Address | Practice Location Address |
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Dr Gerald Ira Polukoff, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (435) 716-2200 | Dr Gerald Ira Polukoff, MD 1300 N 500 E, Logan, UT 84341-2408 Ph: (435) 716-2200 |
Rudolf Otrusinik, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1300 N 500 E, Suite 320, Logan, UT 84341 Phone: 435-755-8200 Fax: 435-752-6094 | |
Harold Vonk, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1980 | |
Robert M Nash, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1980 | |
Agnieszka M Szpunar, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1980 | |
Dr. Stephen J Ferney, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-752-1693 Fax: 435-792-1692 | |
Dr. Stephen Christensen, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 40 W 1250 North Suite 8a, Logan, UT 84341 Phone: 385-244-4020 Fax: 385-244-4022 | |
Ali Ben-jacob, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1281 North 600 East, Logan, UT 84341 Phone: 435-752-5999 Fax: 435-752-5551 |