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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GERALD IRA POLUKOFF, MD

Active

DR. GERALD IRA POLUKOFF, MD is a Cardiovascular Disease healthcare provider located in LOGAN, Utah. NPI 1215020045 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · LOGAN, UT

Registration Details

NPI Number
1215020045
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2006 (19.877574765975 yrs)
Last Updated
Jun 20, 2016
Licenses
370398-1205 (UT)
370398-1205 (UT)
M9904 (ID)
M-9904 (ID)

Practice Information

Address
1300 N 500 E
LOGAN, UT, 843412408
Browse UT providers · Browse ZIP 84341
Phone
4357162200
Primary Specialty
Cardiovascular Disease
207RC0000X
Additional Specialty
Cardiovascular Disease

Other Cardiovascular Disease Providers in LOGAN, UT

Name Credential NPI
ROBERT JACKSON GARR D.O. 1225023088
DR. DAVID T CRAGUN MD 1821005349
WILLIAM L SAUL MD 1255447538
RUDOLF OTRUSINIK MD 1003922394
DR. JONATHAN KWAN RHEE M.D. 1689838542
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.