Individual
DR. KAREN ANN PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12479 STATE ROAD 23, STE E, GRANGER, IN 46530-8040
(574) 277-3077
(574) 277-3288
Mailing address
5455 HARRISON PARK LN, INDIANAPOLIS, IN 46216-2245
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002419
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100474570
—
IN
Enumeration date
02/16/2007
Last updated
08/19/2013
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