Organization
MATTHEW DOUGLAS PUGH, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DOUGLAS PUGH D.O. (OWNER)
(619) 482-4333
Entity
Organization
Contact information
Practice address
754 MEDICAL CENTER CT, 206, CHULA VISTA, CA 91911-6654
(619) 482-4333
(619) 482-4445
Mailing address
754 MEDICAL CENTER CT, 206, CHULA VISTA, CA 91911-6654
(619) 482-4333
(619) 482-4445
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
20A12102
CA
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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