Individual
DR. STEPHEN PATRICK POOLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-1580
Mailing address
PO BOX 409, BLUEFIELD, WV 24701-0409
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
12961
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103753000
—
WV
Enumeration date
06/01/2005
Last updated
08/09/2007
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