MR. Mark Ellsworth Poole
NPI #1144390436 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1144390436
- Entity Type
- Individual
- Name
- MR. Mark Ellsworth Poole
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Apr 11, 2008
Practice Location
- Address
- 1222 SPRUCE ST RM 2.102A
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63103-2854
- Phone
- (314) 269-2310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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