Individual
JEFFREY M PUGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2094
(208) 381-1791
Mailing address
115 W MAIN ST STE 202, BOISE, ID 83702-7303
(208) 433-9466
(208) 433-1149
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M-11608
ID
Other
Enumeration date
08/20/2006
Last updated
02/20/2015
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