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Dr. Jeffrey Scott Poulter, MD
Plastic and Reconstructive Surgery Physician in Bloomington, Illinois
NPI 1174521074

Jeffrey Scott Poulter is a Plastic and Reconstructive Surgery Physician based in Bloomington, IL and is specialized in Plastic and Reconstructive Surgery. Jeffrey Scott Poulter practices in Bloomington, IL and has the professional credentials of MD. The NPI Number for Jeffrey Scott Poulter is 1174521074 and holds a License No. MDR5N96 (Illinois).

The current practice location address for Jeffrey Scott Poulter is 1505 Eastland Dr, Bloomington, IL and can be reached out via phone at 309-663-1222 and via fax at 309-663-0580.

Location: 1505 Eastland Dr, Bloomington, IL, 61701-3534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174521074
Provider Name
Jeffrey Scott Poulter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1505 Eastland Dr, Bloomington, IL, 61701-3534
Phone Number
309-663-1222
Fax Number
309-663-0580
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1505 Eastland Dr
City
Bloomington
State
Illinois
Zip
61701-3534
Phone Number
309-663-1222
Fax Number
309-663-0580
person
Provider Business Mailing Address Details
Address
1505 Eastland Dr
City
Bloomington
State
Illinois
Zip
61701-3534
Phone Number
309-663-1222
Fax Number
309-663-0580
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
(Illinois)
Definition
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 both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
MDR5N96 (Missouri)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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