Brian W Pugh
Gastroenterologist
6028 S Ridgeline Dr Ste 201
Ogden
, Utah 84405-6914
Brian W Pugh
Gastroenterologist
6028 S Ridgeline Dr Ste 201
Ogden
, Utah 84405-6914
(801) 475-8614
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Brian W Pugh
- 6028 S Ridgeline Dr Ste 201
- Ogden, UT
- Zip : 84405-6914
- Fax : (801) 475-8614
- Phone : (801) 475-5400
Second Address
- Brian W Pugh
- 6028 S Ridgeline Dr Ste 201
- Ogden, UT
- Zip : 84405-6914
- Fax : (801) 475-8614
- Phone : (801) 475-5400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 3619881204 | UT |
National Provider Identifier
| NPI | 1023005808 |
|---|---|
| Provider Name | Brian W Pugh |
| First Address | Ogden, UT 84405-6914 |
| Second Address | Ogden, UT 84405-6914 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2005 |
| Last Update Date | 23/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 107008467101 | IHC (01) | |
| 2900043 | UNITED HEALTHCARE (01) | |
| 870653164002 | (05) | UT |
| G82425 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.