Most Relevant Information
Provider Data
NPI Number: | 1003267493 |
Provider Name: | LAUREN BROGIS M.D. |
Entity Type: | Individual |
Taxonomy Code: | 207P00000X |
Specialty: | Emergency Medicine |
License Number: | M-14963 |
Most Important Dates
Enumeration Date: | 06/27/2016 |
Last Updated: | 02/24/2020 |
Provider Practice Location
700 S MAIN ST
MOSCOW
ID
838433046
Practice Location Phone/Fax
Phone: | 2088824511 |
Fax: |
Provider Mailing Location
700 S MAIN ST
MOSCOW
ID
838433046
Provider Mailing Phone/Fax
Phone: | 2088824511 |
Fax: |