Individual
DR. PAUL K POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
550 W VIRGINIA ST, EVANSVILLE, IN 47710-1614
(812) 425-5194
(812) 426-9984
Mailing address
550 W VIRGINIA ST, EVANSVILLE, IN 47710-1614
(812) 425-5194
(812) 426-9984
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12007722
IN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12007722
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246120
—
IN
Enumeration date
01/03/2007
Last updated
09/10/2015
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