IndividualActive
Christian Polovich, CNIM
NPI 1295414027 · Electroneurodiagnostic Specialist/Technologist · Bentonville, AR
Provider details
- NPI number
- 1295414027
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNIM
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
8411 W Kingbird Ct
Bentonville, AR 72713-2436
Phone: (479) 713-0078
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1205
Conway, AR 72033-1205
Registry dates
- Enumerated
- 2023-07-18
- Last updated
- 2023-07-18
- Certified
- 2023-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.