Individual
DAVID L POHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 625-5303
Mailing address
220 COMPASS POINT DR, SAINT CHARLES, MO 63301-4405
(636) 947-4480
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R5G21
MO
2085R0202X
Diagnostic Radiology Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00058865
RAILROAD MEDICARE
MO
01
—
P00064080
RAILROAD MEDICARE
MO
Enumeration date
07/21/2006
Last updated
07/08/2007
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