MR. MARK ELLSWORTH POOLE NPI 1144390436

NPI Information

MR. Mark Ellsworth Poole is a technician other in Saint Louis, MO. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. MR. Mark Ellsworth Poole NPI is 1144390436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1222 SPRUCE ST RM 2.102A
SAINT LOUIS, MO
ZIP 63103-854
Phone: (314) 269-2310
Fax: (314) 269-2748

The enumeration date for this NPI number is 11/8/2006 and was last updated on 4/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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