Organization
MIGUEL PUIG MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL PUIG MD (PRESIDENT)
(530) 894-3278
Entity
Organization
Contact information
Practice address
1430 ESPLANADE STE 10, CHICO, CA 95926-3366
(530) 898-1201
(530) 894-3613
Mailing address
PO BOX 3302, CHICO, CA 95927-3302
(530) 894-3278
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
03/01/2019
Last updated
09/19/2019
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