Individual
MR. JUSTIN BRIAN POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2825 E MALL DR, ST GEORGE, UT 84790-1954
(435) 215-0400
(435) 215-0451
Mailing address
1055 N 500 W ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/16/2017
Last updated
10/14/2024
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