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Organization

BERNARD T. POOLE, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERNARD T POOLE MD (OWNER)
(316) 264-2806
Entity
Organization

Contact information

Practice address
818 N EMPORIA ST, SUITE 107, WICHITA, KS 67214-3729
(316) 264-2806
(316) 264-4716
Mailing address
818 N EMPORIA ST, SUITE 107, WICHITA, KS 67214-3729
(316) 264-2806
(316) 264-4716

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100081750A
KS
Enumeration date
12/02/2009
Last updated
12/02/2009
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