Individual
MR. BRIAN PAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51102
(712) 279-2010
Mailing address
801 5TH ST, SIOUX CITY, IA 51102
(712) 279-2010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
075276
IA
Other
Enumeration date
09/19/2014
Last updated
12/29/2015
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