Individual
REBECCA MYRENE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RM
Contact information
Practice address
11 S. GLASGOW AVE., BURLEY BLDG. #200, RICO, CO 81332
(970) 708-1298
Mailing address
PO BOX 213, RICO, CO 81332-0213
(970) 708-1298
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
89
CO
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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