Polina Kokoulina, PA-C

NPI #1013342468 in Boise, Idaho

Provider Information

NPI Number
1013342468
Entity Type
Individual
Name
Polina Kokoulina, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Sep 4, 2013
Last Updated
Apr 6, 2015

Practice Location

Address
900 N LIBERTY ST
Address 2
STE 101
City
Boise
State
Idaho
ZIP Code
83704-8704
Phone
(208) 367-5050

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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