Individual
LARRY F. POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP2194986
WA
207Q00000X
Family Medicine Physician
Primary
MD00011083
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8254344
—
WA
Enumeration date
01/19/2007
Last updated
05/13/2008
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