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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRYAN C POGUE MD

Active Organization

BRYAN C POGUE MD is a Family Medicine organization located in BOISE, Idaho. NPI 1477558328 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BOISE, ID

Registration Details

NPI Number
1477558328
Provider Type
Organization
NPI Issued
Jun 16, 2005 (21.137276951484 yrs)
Last Updated
Apr 5, 2016
License
M5125 (ID)

Practice Information

Address
6565 W EMERALD ST
BOISE, ID, 837048737
Browse ID providers · Browse ZIP 83704
Phone
2083775055
Fax
2083775335
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.