Individual
GREG PEUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 257-5959
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-5959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000174771
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485881304
—
MO
Enumeration date
02/11/2007
Last updated
11/04/2015
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