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Contact Information

BRUCE S PUGATCH, MD
1301 15TH AVE W
WILLISTON, ND58801
 Phone: 701-774-7400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRUCE S PUGATCH · (Male)

NPI # 1700862232
Status Active
Credentials MD
Entity Individual
Enumeration date 12/16/2005
Last updated 08/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 104666
  • ND License # 10451
  • ND Medicaid 1451817
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Critical Access)
    1301 15TH AVE W
    WILLISTON, ND 58801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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