# MATTHEW DOUGLAS PUGH, D.O.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053719898
- **Authorized official:** MATTHEW DOUGLAS PUGH D.O. (OWNER)
- **Authorized official phone:** (619) 482-4333

## Contact information

- **Practice address:** 754 MEDICAL CENTER CT, 206, CHULA VISTA, CA 91911-6654
- **Practice address phone:** (619) 482-4333
- **Practice address fax:** (619) 482-4445
- **Mailing address:** 754 MEDICAL CENTER CT, 206, CHULA VISTA, CA 91911-6654
- **Mailing address phone:** (619) 482-4333
- **Mailing address fax:** (619) 482-4445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 20A12102 | CA | Yes |

## Other

- **Enumeration date:** 12/10/2014
- **Last updated:** 12/10/2014