Individual provider · Type 1 NPI
Jeffrey Scott Poulter, MD
Plastic Surgery Physician · Bloomington, IL
Practice location
1505 Eastland Dr, Ste 350
Bloomington, IL 61701-3534
Fax (309) 663-0580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MDR5N96 (MO) |
| Plastic Surgery Physician Primary | 208200000X | None listed |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | None listed |
Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…
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About NPI 1174521074
Jeffrey Scott Poulter, MD's National Provider Identifier is 1174521074, issued on Jul 13, 2005. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Bloomington, IL. The record was last updated on Dec 19, 2007.