BRENTEN CLARK PUGH

WEST JORDAN, UT
NPI1891742508
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  5054030-1205)
Enumeration Date2006-05-28
Last Update Date2007-08-13
Business Address
BRENTEN CLARK PUGH M.D.
7478 CAMPUS VIEW DR SUITE 100
WEST JORDAN, UT 84084-1966
Phone number: 801-280-7774
Mailing Address
BRENTEN CLARK PUGH M.D.
PO BOX 572528
SALT LAKE CITY, UT 84157-2528
Phone number: 801-747-7279
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