Ivan Darrell Pugh Jr., DO

Surgery Physician · Salem, OH

Individual Active NPI

NPI number 1174513667

Practice location

2094 E State St
Suite a
Salem, OH 44460
Phone
(330) 337-2868
Fax
(330) 337-2875

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NPI record

NPI
1174513667
Entity type
Individual (Type 1)
Enumeration date
October 26, 2005
Last updated
September 19, 2024
Certified
September 19, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 34-00-7483-P OH

Mailing address

1995 E State St
Salem, OH 44460-2423
Phone
(330) 337-2868
Fax
(330) 337-2875

About Dr. Pugh

Ivan Darrell Pugh Jr., DO is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 2094 E State St, Suite a, Salem, OH 44460. The NPI number 1174513667 was assigned on October 26, 2005 and the record was last updated on September 19, 2024.

Dr. Pugh lists a license in the registry: #34-00-7483-P (OH) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ivan Darrell Pugh Jr., DO?

The NPI number is 1174513667.

What is the phone number of Dr. Pugh?

The phone number listed for the practice location is (330) 337-2868.

Where is Dr. Pugh located?

2094 E State St, Suite a, Salem, OH 44460.

What is the taxonomy code for Dr. Pugh?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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