Organization
POOLE DERMATOLOGY A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY C POOLE MD (OWNER)
(504) 838-8225
Entity
Organization
Contact information
Practice address
111 VETERANS MEMORIAL BLVD, SUITE #406, METAIRIE, LA 70005-3028
(504) 838-8225
(504) 838-8233
Mailing address
111 VETERANS MEMORIAL BLVD, SUITE #406, METAIRIE, LA 70005-3028
(504) 838-8225
(504) 838-8233
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD021909
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1576387
—
LA
Enumeration date
04/13/2007
Last updated
08/26/2009
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