Individual
BRANDON MARK HUGHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-4141
Mailing address
7000 QUAIL LAKES DR APT 7136, HOLLAND, OH 43528-9389
(269) 366-0521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2021008489
MO
363AS0400X
Surgical Physician Assistant
Primary
2021008489
MO
Other
Enumeration date
03/19/2021
Last updated
09/12/2024
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