Individual
MR. RICHARD JOSEPH COGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
500 W FORT ST., BOISE, ID 83702
(208) 422-1000
(208) 422-1051
Mailing address
500 W FORT ST, BOISE, ID 83702
(208) 422-1000
(208) 422-1051
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP333
ID
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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