Individual
MR. ALTON RILEY PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
802 S 200 W, BLANDING, UT 84511
(435) 678-3993
(435) 678-3992
Mailing address
802 S 200 W, BLANDING, UT 84511-3910
(435) 678-3993
(435) 678-3992
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5133328-4406
UT
367500000X
Certified Registered Nurse Anesthetist
COA11321
OH
Other
Enumeration date
02/09/2010
Last updated
04/10/2019
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