Jacob Lamar Pugh, PA-C

NPI #1396227146 in Santa Clara, Utah

Provider Information

NPI Number
1396227146
Entity Type
Individual
Name
Jacob Lamar Pugh, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Aug 29, 2018
Last Updated
Nov 16, 2020

Practice Location

Address
2432 CONCORD AVE
State
Utah
ZIP Code
84765-5621
Phone
(435) 429-0944

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