Individual
GARY D PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
101 SIVLEY RD SW, WOMEN'S & CHILDREN ADMINISTRATION, HUNTSVILLE, AL 35801-4421
(256) 265-3880
(256) 265-3886
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-3880
(256) 265-3886
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO462
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
316329YR41
MEDICARE
NM
05
—
52921280
—
NM
Enumeration date
08/03/2006
Last updated
12/30/2015
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