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JOHN MARK POOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4755 OGLETOWN STANTON RD STE 1E50, NEWARK, DE 19718-4409
(302) 733-1980
(302) 733-1986
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
UNKNOWN
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036166785
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C1-0026347
DE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
M6832
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
281326301
TX
05
281326302
TX
05
281326303
TX
01
P00735791
RAILROAD MEDICARE
TX
Enumeration date
05/22/2007
Last updated
02/10/2025
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