# MARY ANNETTE PUGH MD, PLLC

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

## Provider details

- **NPI number:** 1710365382
- **Authorized official:** MARY ANNETTE PUGH (MD)
- **Authorized official phone:** (479) 806-4290

## Contact information

- **Practice address:** 2500 HIGHWAY 65 S, CLINTON, AR 72031-6588
- **Practice address phone:** (479) 979-8064
- **Practice address fax:** (479) 219-5500
- **Mailing address:** 10364 ROUND ROCK RD, DARDANELLE, AR 72834-7343
- **Mailing address phone:** (479) 567-5467
- **Mailing address fax:** (479) 219-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2015
- **Last updated:** 07/28/2026