Individual provider · Type 1 NPI

Gerald Ira Polukoff, MD

Cardiovascular Disease Physician · Logan, UT

NPI number 1215020045 Active

Practice location

1300 N 500 E
Logan, UT 84341-2408

Call (435) 716-2200 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X370398-1205 (UT)
Interventional Cardiology Physician 207RI0011X370398-1205 (UT)
Cardiovascular Disease Physician 207RC0000XM9904 (ID)
Interventional Cardiology Physician 207RI0011XM-9904 (ID)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1215020045

Gerald Ira Polukoff, MD's National Provider Identifier is 1215020045, issued on Oct 2, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Logan, UT. The record was last updated on Jun 20, 2016.