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Individual

STANLEY SCOTT POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109
(702) 731-8000
Mailing address
PO BOX 734639, CHICAGO, IL 60673-4639
(702) 242-6911

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
SL0953
NV
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO2192
NV
208100000X
Physical Medicine & Rehabilitation Physician
SL0953
NV

Other

Enumeration date
06/10/2013
Last updated
10/29/2019
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