Individual
DR. TREVOR WARD POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 RALSTON AVE STE 204, DEFIANCE, OH 43512-5309
(419) 783-6997
(419) 782-6103
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(419) 783-6997
(419) 782-6103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23024
SC
174400000X
Specialist
Primary
35.132964
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0304082
—
OH
05
—
GP1384
—
SC
01
—
H650150
MEDICARE
OH
Enumeration date
05/05/2006
Last updated
11/03/2023
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