Organization
P GEORGE POORE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
P GEORGE POORE MD (OWNER)
(307) 739-4662
Entity
Organization
Contact information
Practice address
555 E 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11570700
—
WY
Enumeration date
03/05/2008
Last updated
03/05/2008
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