Provider Demographics
NPI:1528432838
Name:POOLE, JAY HOWARD JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:HOWARD
Last Name:POOLE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1851 HILLPOINTE RD
Mailing Address - Street 2:UNIT # 1422
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-0975
Mailing Address - Country:US
Mailing Address - Phone:702-524-1899
Mailing Address - Fax:702-463-2238
Practice Address - Street 1:1851 HILLPOINTE RD
Practice Address - Street 2:UNIT # 1422
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-0975
Practice Address - Country:US
Practice Address - Phone:702-524-1899
Practice Address - Fax:702-463-2238
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
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Provider Licenses
StateLicense IDTaxonomies
PAMD031557E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine