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NPI Provider: 1477558328
Contact Name: Sizemore M Kelli
Position: Administrator
Phone: (208) 377-5055
Bryan C Pogue Md Information:
Bryan C Pogue Md organization have npi 1477558328, taxonomy code is 207Q00000X with license number is M5125 in . This Business address located in 6565 W Emerald St, Boise, ID 83704 Idaho. Get directions of Bryan C Pogue Md.
Practice Location
Address: 6565 W Emerald St, Boise, ID 83704
Phone: (208) 377-5055
Business Location
Address: 6565 W Emerald St, Boise, ID 83704
Phone: (208) 377-5055
Fax: (208) 377-5335
Taxonomy
Taxonomy Code: 207Q00000X
License Number: M5125
License Number of State: ID
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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