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Individual

DANIEL POOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
BAPTIST MEMORIAL HOSPITAL MEMPHIS, 124 N. HUMPHREY'S BLVD, MEMPHIS, TN 38120
(902) 226-5000
Mailing address
8675 WINE LEAF CV, GERMANTOWN, TN 38139-4443
(646) 645-9779

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25383
MS
207P00000X
Emergency Medicine Physician
Primary
56527
TN
207P00000X
Emergency Medicine Physician
E-10782
AR
390200000X
Student in an Organized Health Care Education/Training Program
#39
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12345
NJ
05
1316352099
NJ
Enumeration date
06/21/2014
Last updated
07/17/2018
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