Individual
MR. EVAN MACNAUGHTON PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3030 CHILDRENS WAY, SAN DIEGO, CA 92132-1914
(858) 966-6789
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA64905
CA
Other
Enumeration date
12/21/2023
Last updated
08/16/2024
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