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Jeffrey Brogan
NPI 1356180921 · on the registry since 2024
Practice
- Address
- 285 W Prairie Shopping Ctr # 129
Hayden, ID 83835 - Phone
- (208) 449-6404
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho