Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB LAMAR PUGH, PA-C
ActiveJACOB LAMAR PUGH, PA-C is a Physician Assistant healthcare provider located in SANTA CLARA, Utah. NPI 1396227146 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SANTA CLARA, UT
Registration Details
- NPI Number
- 1396227146
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2018 (7.7762928484185 yrs)
- Last Updated
- Nov 16, 2020
- License
-
10959210-1206 (UT)
Practice Information
- Address
-
2432 CONCORD AVESANTA CLARA, UT, 847655621Browse UT providers · Browse ZIP 84765
- Phone
- 4354290944
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SANTA CLARA, UT
| Name | Credential | NPI |
|---|---|---|
| MCKENZIE VI REYNOLDS | — | 1902415219 |
| WILLIAM MCKINZIE TOBLER | — | 1619617917 |
| SAMUEL ADAM BLOXHAM | PA-C | 1558161695 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.