Individual
RYAN CHRISTOPHER PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1127
(816) 404-1103
Mailing address
PO BOX 412431, KANSAS CITY, MO 64141-2431
(913) 647-4100
(913) 258-2509
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2020008734
MO
Other
Enumeration date
04/30/2019
Last updated
03/02/2023
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