NPI 1255327169

Mark Pogue

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Scottsdale, AZ

Practice location

Address: 8535 E Hartford Dr, Scottsdale, AZ 85255-5438
Phone: (480) 515-5400
Fax: (480) 515-5493
Mailing address: 8535 E Hartford Dr, Scottsdale, AZ 85255-5443

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 26467 (AZ)

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Registry record

NPI: 1255327169
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2005
Record last updated: 13 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.