Provider Demographics
NPI:1225862485
Name:PUGH, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:PUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 106TH ST NW
Mailing Address - Street 2:
Mailing Address - City:SOURIS
Mailing Address - State:ND
Mailing Address - Zip Code:58783-9712
Mailing Address - Country:US
Mailing Address - Phone:701-228-4425
Mailing Address - Fax:
Practice Address - Street 1:249 106TH ST NW
Practice Address - Street 2:
Practice Address - City:SOURIS
Practice Address - State:ND
Practice Address - Zip Code:58783-9712
Practice Address - Country:US
Practice Address - Phone:701-228-4425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health