Dr. Jeffrey Scott Poulter, MD
Dr. Jeffrey Scott Poulter, MD is a Plastic and Reconstructive Surgery Physician in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois and Missouri.
- Licensed in
- IL, MO
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1505 Eastland Dr Ste 350Bloomington, IL 61701-3534
Phone: (309) 663-1222
Fax: (309) 663-0580
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X (IL) |
|---|---|
| Plastic and Reconstructive Surgery Physician | Taxonomy 2086S0122X · Licence MDR5N96 (MO) |
| Plastic and Reconstructive Surgery Physician | Taxonomy 2086S0122X (IL) |
Record details
| NPI number | 1174521074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2005 |
| Last updated in NPPES | December 19, 2007 |