Individual
MICHAEL PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, CNMT
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
038752
AL
363A00000X
Physician Assistant
Primary
PA1232
AL
Other
Enumeration date
03/23/2017
Last updated
05/26/2022
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