Individual
MR. MARK ELLSWORTH POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1222 SPRUCE ST RM 2.102A, SAINT LOUIS, MO 63103-2854
(314) 269-2310
(314) 269-2748
Mailing address
2100 2ND ST SW STE 5314, WASHINGTON, DC 20593-0002
(314) 269-2310
(314) 269-2748
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
04/11/2008
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