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1124133004
JEFFREY M PUGSLEY
BOISE, ID
NPI
1124133004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ID M-11608)
Enumeration Date
2006-08-20
Last Update Date
2015-02-20
Business Address
-- JEFFREY M PUGSLEY MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2094
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Mailing Address
-- JEFFREY M PUGSLEY MD
115 W MAIN ST STE 202
BOISE, ID 83702-7303
Phone number: 208-433-9466
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