Indyana Polley
Indyana Polley is a Physician Assistant in Modesto, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
1431 McHenry Ave Ste 100Modesto, CA 95350-4534
Phone: (209) 579-2300
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA57094 (CA) |
|---|
Record details
| NPI number | 1679036644 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 8, 2019 |
| Last updated in NPPES | April 22, 2022 |
| Certification date | April 22, 2022 |
| Mailing address | 1691 The Alameda, San Jose, CA 95126-2203 |
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