Individual
AUSTIN PUGMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4845 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2333
(208) 237-3900
Mailing address
152 S 16TH PL, POCATELLO, ID 83201-4021
(435) 890-2614
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
I67593
ID
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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