Individual
P GEORGE POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 EAST BROADWAY STE 212, JACKSON, WY 83001-4777
(307) 739-4662
(307) 733-7679
Mailing address
PO BOX 4777, JACKSON, WY 83001-4777
(307) 739-4662
(307) 733-7679
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5778A
WY
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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