NPI 1295414027

Christian Polovich, CNIM

Practitioner Electroneurodiagnostic Specialist/Technologist Bentonville, AR

Practice location

Address: 8411 W Kingbird CT, Bentonville, AR 72713-2436
Phone: (479) 713-0078
Mailing address: PO Box 1205, Conway, AR 72033-1205

Registered specialties

Electroneurodiagnostic Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0600X

Other Specialist/Technologist, Other providers in Arkansas →

Registry record

NPI: 1295414027
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2023
Record last updated: 18 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.