Individual
BRIAN W PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6028 S RIDGELINE DR, STE 201, OGDEN, UT 84405-6914
(801) 475-5400
(801) 475-8614
Mailing address
6028 S RIDGELINE DR, STE 201, OGDEN, UT 84405-6914
(801) 475-5400
(801) 475-8614
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
3619881204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008467101
IHC
—
01
—
2900043
UNITED HEALTHCARE
—
05
—
870653164002
—
UT
Enumeration date
10/05/2005
Last updated
09/23/2010
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