Individual
ALICE MARIE PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 CORNERSIDE BLVD, SUITE 600, VIENNA, VA 22182-2441
(703) 712-1600
(703) 712-1601
Mailing address
1500 CORNERSIDE BLVD, SUITE 600, VIENNA, VA 22182-2441
(703) 712-1600
(703) 712-1601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101236917
VA
Other
Enumeration date
10/27/2005
Last updated
10/08/2013
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