Individual
DR. MARK H PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1030 MONARCH ST, LEXINGTON, KY 40513-1843
(606) 748-2523
Mailing address
5096 MIDDLETON PL, LEXINGTON, KY 40515-1406
(606) 748-2523
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
03648
KY
2084P0800X
Psychiatry Physician
M5890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187757303
—
TX
Enumeration date
06/14/2007
Last updated
06/10/2024
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