Individual
DR. JACOB B PUGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1030 MEDICAL DR STE A, BRIGHAM CITY, UT 84302-3050
(435) 723-9704
(435) 723-9710
Mailing address
1130 SOUTH MEDICAL DRIVE STE A, BRIGHAM CITY, UT 84302-3050
(435) 723-9704
(435) 723-9710
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
02003149A
IN
Other
Enumeration date
06/05/2008
Last updated
12/23/2011
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