Individual provider · Type 1 NPI
Alex John Polenick, PA-C
Medical Physician Assistant · Boardman, OH
NPI number
1003397654
Active
Practice location
1499 Boardman Canfield Rd
Boardman, OH 44512-4008
Fax (330) 533-4587
Mailing address
8591 Crossroads Drive
Youngstown, OH 44514
Other practice locations
- 1695 Niles Cortland Rd NE, Warren, OH 44484-1165 · (330) 758-0577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 50.005589RX (OH) |
Medical Physician Assistant: Definition to come...
6 other providers at this address
- Youngstown Orthopaedic Associates LtdOrthopaedic Surgery Physician Boardman, OH NPI 1881697225
- Ashley Vidale, FNPNurse Practitioner Youngstown, OH NPI 1245844802
- Douglas H. Musser, DOOrthopaedic Surgery Physician Boardman, OH NPI 1821091414
- Jan Michelle Dartt, PASurgical Physician Assistant Youngstown, OH NPI 1316226384
- Makayla D'eramoPhysician Assistant Boardman, OH NPI 1508559857
- Tedmund R. Mason, PACPhysician Assistant Boardman, OH NPI 1912158577
Other medical physician assistant providers in Boardman
About NPI 1003397654
Alex John Polenick, PA-C's National Provider Identifier is 1003397654, issued on Aug 22, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boardman, OH. The record was last updated on Apr 17, 2024.