Individual
DR. JACOB ADAM POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
18511 HIGHLANDER MEDICS STREET, WILLIAM BEAUMONT ARMY MEDICAL CENTER, FT. BLISS, TX 79918
(915) 569-3213
Mailing address
18511 HIGHLANDER MEDICS STREET, FT. BLISS, TX 79918
(915) 569-3213
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
134142
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
2024005892
MO
Other
Enumeration date
08/30/2021
Last updated
07/24/2024
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