| Todd K Pogue Co Pllc | |
|
2323 Windish Dr Galesburg IL 61401-9780 | |
| (309) 344-2323 | |
| Not Available |
| Full Name | Todd K Pogue Co Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2323 Windish Dr, Galesburg, Illinois |
| Authorized Official Name and Position | Todd Kent Pogue (OWNER) |
| Authorized Official Contact | 9182616939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd K Pogue Co Pllc Po Box 1346 Bettendorf IA 52722-0023 Ph: (918) 261-6939 | Todd K Pogue Co Pllc 2323 Windish Dr Galesburg IL 61401-9780 Ph: (309) 344-2323 |
| NPI Number | 1841345253 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841345253 | NPI | - | NPPES |
| 200098010A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4110 (Oklahoma) | Primary |
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