# POOLE JOINT REPLACEMENT SPECIALISTS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265903736
- **Authorized official:** COLIN POOLE MD (MD, OWNER)
- **Authorized official phone:** (208) 391-5811

## Contact information

- **Practice address:** 2365 E GALA ST STE 1, MERIDIAN, ID 83642-4881
- **Practice address phone:** (208) 391-5811
- **Mailing address:** 1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
- **Mailing address phone:** (208) 287-9420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2018
- **Last updated:** 11/26/2024
