Individual
JASON CLIFFORD POOLER
Active
Individual
JASON CLIFFORD POOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25056
OK
207L00000X
Anesthesiology Physician
Primary
MD40390
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110533
—
AL
05
—
1513157
—
TN
05
—
278754541A
—
GA
01
—
4222895
BLUE CROSS BLUE SHIELD TN
TN
05
—
591187I
—
NC
Enumeration date
02/05/2007
Last updated
01/14/2010
Update your record
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