Individual
DR. DANIEL D PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63108-1301
(314) 286-1700
(314) 286-1777
Mailing address
660 S EUCLID AVE, C B 8134, SAINT LOUIS, MO 63110-1010
(314) 286-1700
(314) 286-1777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29650
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053141
—
IL
05
—
041010213
—
MO
Enumeration date
07/17/2006
Last updated
01/17/2014
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