Individual
MEGAN HATTIE PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1208 6TH AVE, SUPERIOR, MT 59872-9667
(406) 822-4841
Mailing address
375 COMFORT LN, BOZEMAN, MT 59718-9139
(406) 599-8915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-102686
MT
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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