P George Poore MD

NPI 1295878783 - Surgery - 208600000X

NPI Details
NPI 1295878783
Gender Male
Enumeration Date 02/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
555 EAST BROADWAY STE 212
JACKSON WY, 83001-4777, US
Phone (307) 739-4662
Fax (307) 733-7679
Business Location
PO BOX 4777
JACKSON WY, 83001-4777, US
Phone (307) 739-4662
Fax (307) 733-7679
Toxanomy
Taxonomy Code 208600000X
License State Wyoming
License Number 5778A
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According to our database, P George Poore MD NPI is 1295878783, taxonomy code is 208600000X and license number is 5778A, license state is located at Wyoming. P George Poore MD physically located at 555 East Broadway Ste 212, Jackson WY, 83001-4777. NPI Number P George Poore MD has the Individual type.

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1295878783 NPI number is provided on an as is basis without warranty of any kind. 1295878783 is maintained by the National Plan & Provider Enumeration System. The contents of P George Poore MD are for informational purposes only.