Organization
TODD K POGUE CO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD KENT POGUE D.O. (OWNER)
(918) 261-6939
Entity
Organization
Contact information
Practice address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
Mailing address
PO BOX 1346, BETTENDORF, IA 52722-0023
(918) 261-6939
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4110
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200098010A
—
OK
Enumeration date
01/24/2007
Last updated
07/03/2008
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