Individual
DR. BRYAN C POGUE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9850 ST LUKES DR, NAMPA, ID 83687-7912
(208) 463-3000
(208) 288-4951
Mailing address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3000
(208) 463-3308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5125
ID
Other
Enumeration date
06/23/2005
Last updated
05/29/2018
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