Pugh, Brian W

Pugh, Brian W is an individual health care provider with primary practice located at 6028 S Ridgeline Dr Ste 201, Ogden UT 84405-6914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Pugh, Brian W can be contacted via phone (801) 475-5400.

Contact Information

Primary practice address
6028 S Ridgeline Dr Ste 201 Ogden UT 84405-6914
Phone: (801) 475-5400
Fax: (801) 475-8614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 3619881204 Utah

Profile Details

NPI number 1023005808
LBN Legal business name Pugh, Brian W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Sep 23rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023005808 NPPES
Other 2900043 UNITED HEALTHCARE
MEDICAID 870653164002 UNITED HEALTHCARE
Other 107008467101 UNITED HEALTHCARE

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