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Individual

DR. JOHN F. POHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 NORTH MARIO CAPECCHI DRIVE, SUITE 2650, SALT LAKE CITY, UT 84113-1103
(801) 662-2900
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L1968
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
7061856-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1635229-01
TX
01
1635229-02
CSHCN
TX
01
370018897
RR/MEDICARE
TX
01
8B0917
BLUE SHIELD
TX
Enumeration date
03/31/2006
Last updated
04/25/2022
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