Individual
DR. KEVIN PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1055 S STAPLEY DR, MESA, AZ 85204
(480) 833-9100
(480) 833-6000
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(480) 892-8400
(602) 508-4830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2054
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032451
—
AZ
Enumeration date
07/01/2015
Last updated
02/23/2024
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