Mary Annette Pugh Md, Pllc, NPI 1710365382
General Practice Physician in Clinton, AR, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1710365382
NPI Entity Type Organization
Provider Name Mary Annette Pugh Md, Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2500 Highway 65 S, Clinton, AR, US
Provider Mailing Address Po Box 9178, Russellville, AR, US, 728119178
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MD Mary Pugh
Official Position AUTHORIZED OFFICIAL
Phone 479-806-4290

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

208D00000X

Taxonomy Name General Practice Physician
Classification

General Practice

Group

Allopathic & Osteopathic Physicians

Description Definition to come...

Business Address

Mary Annette Pugh Md, Pllc
2500 Highway 65 S

Clinton, AR, US

Phone: 479-979-8064
Fax: 479-219-5500

Mailing Address

Mary Annette Pugh Md, Pllc
Po Box 9178
Russellville, AR, US
ZIP 728119178
Phone: 800-824-4094
Fax: 479-968-1643

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