Individual
ROBERT DAVID PUGH
Active
Individual
ROBERT DAVID PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
5494787-3102
UT
163WC0200X
Critical Care Medicine Registered Nurse
310189
NC
367500000X
Certified Registered Nurse Anesthetist
0000000-0000
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
202211571CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
6543
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NONE
—
Enumeration date
11/16/2020
Last updated
10/28/2022
Update your record
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