| Dr Joseph William Pugh, MD | |
|
101 Bodin Cir, 60 Mdg/ Sgcxu, Travis Afb, CA 94535-1809 | |
| (707) 423-7401 | |
| Not Available |
| Full Name | Dr Joseph William Pugh |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275605834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME100117 (Florida) | Secondary |
| 208800000X | Urology | C154316 (California) | Primary |
| Entity Name | North Okaloosa Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659329852 PECOS PAC ID: 0244205565 Enrollment ID: O20040831000576 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph William Pugh, MD 101 Bodin Cir, 60 Mdg/ Sgcxu, Travis Afb, CA 94535-1809 Ph: (707) 423-7401 | Dr Joseph William Pugh, MD 101 Bodin Cir, 60 Mdg/ Sgcxu, Travis Afb, CA 94535-1809 Ph: (707) 423-7401 |
Dr. Yurong Mai, MD Urology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7402 | |
Kathryn Sullivan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-7401 | |
Dr. Alexander Lo, MD Urology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7402 |