SearchIdaho152W00000X

Miles Poole, OD

NPI 1023764040 · on the registry since 2022 · sole proprietor

Practice

Address
225 S Linder Rd Apt A305
Eagle, ID 83616
Phone
(208) 514-9315
Clinicians at this address
4

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
390200000X
390200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho