Dr. Daniel Pugh, D.O.
Internal Medicine in Albuquerque, NM. Individual provider (NPI-1).
NPI number1174937726
StatusActive
Last updated in NPPESOct 18, 2024
Details
- NPI
- 1174937726
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daniel Pugh
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2014
- Certification date
- Oct 18, 2024
- Last updated
- Oct 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A-2486-21 | NM | Yes |
| 207R00000X | Internal Medicine | 1490 | NE |
Practice location
340 Shirk Ln SwAlbuquerque, NM 87105-7542
Phone 720-233-9332
Mailing address
4430 Missouri AveFort Leonard Wood, MO 65473-9098
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