Individual
BRIAN W PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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