Individual
DR. TREVOR WARD POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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