Indyana Polley
NPI #1679036644 in Modesto, California
Provider Information
- NPI Number
- 1679036644
- Entity Type
- Individual
- Name
- Indyana Polley
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Apr 8, 2019
- Last Updated
- Apr 22, 2022
Practice Location
- Address
- 1431 MCHENRY AVE STE 100
- City
- Modesto
- State
- California
- ZIP Code
- 95350-4534
- Phone
- (209) 579-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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