Individual
DOUGLAS H POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3009 N BALLAS RD STE 387C, SAINT LOUIS, MO 63131-2324
(314) 996-5900
(314) 996-5910
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(314) 996-5900
(314) 996-5910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
118497
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205152408
—
MO
Enumeration date
08/02/2006
Last updated
03/03/2021
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