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Individual

DR. DIANA RENEE' PUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6930 E 71ST ST, INDIANAPOLIS, IN 46220-4262
(317) 841-8600
(317) 842-8349
Mailing address
6930 E 71ST ST, INDIANAPOLIS, IN 46220-4262
(317) 841-8600
(317) 842-8349

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01036796A
IN

Other

Enumeration date
09/16/2006
Last updated
07/08/2007
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