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Search › Idaho › 207Q00000X

J Roscoe, M.D

NPI 1871522086 · on the registry since 2006

Practice

Address
6565 W Emerald St
Boise, ID 83704
Phone
(208) 514-2510
Fax
(208) 375-2217
Organisation at this address
Bryan C Pogue Md
Full Circle Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Additional practice sites

  • 777 N Raymond St, Boise, ID

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-11-07

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