Individual
BRIAN POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-7806
Mailing address
26 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-7806
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
11262324-1205
UT
207RP1001X
Pulmonary Disease Physician
Primary
11262324-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
268049
MA
Other
Enumeration date
02/02/2015
Last updated
06/15/2022
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