Bryan C Pogue MD

NPI #1477558328 in Boise, Idaho

Provider Information

NPI Number: 1477558328
Entity Type: Organization
Organization Name: Bryan C Pogue MD
Primary Specialty: Family Medicine
Enumeration Date: Jun 16, 2005
Last Updated: Apr 5, 2016

Practice Location

Address: 6565 W EMERALD ST
City: Boise
State: Idaho
ZIP Code: 83704-8737
Phone: (208) 377-5055

Authorized Official

Name: MR. KELLI M SIZEMORE, CMPE
Title: ADMINISTRATOR
Phone: (208) 377-5055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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