DR. Jeffrey Scott Poulter, M.D.

NPI #1174521074 in Bloomington, Illinois

Provider Information

NPI Number: 1174521074
Entity Type: Individual
Name: DR. Jeffrey Scott Poulter, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Plastic Surgery
Credential: M.D.
Enumeration Date: Jul 13, 2005
Last Updated: Dec 19, 2007

Practice Location

Address: 1505 EASTLAND DR
Address 2: STE 350
City: Bloomington
State: Illinois
ZIP Code: 61701-3534
Phone: (309) 663-1222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X
Plastic Surgery	208200000X	Primary

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Organizations

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Center for Cosmetic and Laser Surgery, LLC	Plastic Surgery	Bloomington	AI Deep Dive

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