Jeffrey S. Poulter, M.D.
Plastic Surgery · Bloomington, IL
UnclaimedM.D.NPI 1174521074
- Primary taxonomy
- 208200000X
- Enumerated
- 2005-07-13
- Practice location
- Bloomington, IL
- Last NPPES update
- 2007-12-19
State licenses
- MO · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.