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Individual

LAUREN BROGIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
700 S MAIN ST, MOSCOW, ID 83843-3046
(208) 882-4511
Mailing address
700 S MAIN ST, MOSCOW, ID 83843-3046
(208) 882-4511

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-14963
ID

Other

Enumeration date
06/27/2016
Last updated
02/24/2020
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