Individual
DR. BRIAN S PUGLISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9201 E MOUNTAIN VIEW RD, SCOTTSDALE, AZ 85258-5199
(480) 614-8555
(480) 614-8666
Mailing address
PO BOX 7368, ORANGE, CA 92863-7368
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15995
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253419
—
AZ
01
—
30WCFHS12
VRL
AZ
01
—
P00696654
RAILROAD MEDICARE
—
Enumeration date
10/20/2005
Last updated
04/14/2010
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