Individual
MARK HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4105 HOLIDAY ST NW, CANTON, OH 44718-2531
(330) 494-2097
(330) 494-9750
Mailing address
4105 HOLIDAY ST NW, CANTON, OH 44718-2531
(330) 494-2097
(330) 494-9750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001086
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970022371
RAILROAD MEDICARE
OH
Enumeration date
06/08/2006
Last updated
12/11/2007
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