Individual
DR. JACKSON CHARLES PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
434 N WEST ST, PERRYVILLE, MO 63775-1359
(573) 547-2536
Mailing address
434 N WEST ST, PERRYVILLE, MO 63775-1359
(573) 547-2536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020024607
MO
Other
Enumeration date
06/12/2013
Last updated
07/16/2025
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