Male or Other

Alex J. Polenick PA-C

Medical Physician Assistant in Boardman, OH(View on Map)

Full Name

Alex John Polenick PA-C

NPI Number

1003397654

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/22/2018

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

50.005589RX

Contact
Information

Purpose

Mailing
Location

Address

8591 CROSSROADS DRIVE
1499 BOARDMAN CANFIELD RD

City

Youngstown
Boardman

State

OH
OH

Postal Code

44514
44512-4008

Country

US
US

Telephone Number

(330) 758-0577
(330) 758-0577

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/17/2024

Provider Address

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