NPI 1144390436

Mark Ellsworth Poole

Practitioner Other Technician Saint Louis, MO

Practice location

Address: 1222 Spruce St Rm 2.102a, Saint Louis, MO 63103-2854
Phone: (314) 269-2310
Fax: (314) 269-2748
Mailing address: 2100 2nd St SW STE 5314, Washington, DC 20593-0002

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Missouri →

Registry record

NPI: 1144390436
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2006
Record last updated: 11 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.