Marshall M. Poor in Bloomington - Specialist

Marshall M. Poor - NPI 1164405643

Marshall M. Poor is a Specialist in Bloomington, Indiana. Marshall M. Poor practices all healthcare services and medical treatments related to Specialist. The NPI Number for Marshall M. Poor is 1164405643. The last update date is 2007-07-08.

Marshall M. Poor's current location address is 700 S College Ave, Bloomington, Indiana. You can contact this provider via phone number 8123318168 and fax number 8123311096. The mailing address for Marshall M. Poor is 700 S College Ave, Bloomington, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Marshall M. Poor
Address 700 S College Ave, Bloomington, Indiana
Phone Number 8123318168
Fax Number 8123311096
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1164405643
Provider Enumeration Date 2005-11-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 700 S College Ave
City Bloomington
State Indiana (IN)
Post Code 474032500
Phone Number 8123318168
Fax Number 8123311096

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 1039391
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Marshall M. Poor

What is the unique identifier code issued to Marshall M. Poor by the Centers for Medicare & Medicaid Services (CMS)?

The Marshall M. Poor has been assigned the NPI (National Provider Identifier) 1164405643. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Marshall M. Poor's facilities are geographically located?

The facilities of Marshall M. Poor are physically situated at the following location: 700 S College Ave, Bloomington, IN, 474032500.

What is Marshall M. Poor's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Marshall M. Poor is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

When did Marshall M. Poor receive its 1164405643 assignment?

The Marshall M. Poor was assigned its 1164405643 on 2005-11-29, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Marshall M. Poor, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Marshall M. Poor, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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