Individual
DR. JERRY R. HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 JANES RD, ARCATA, CA 95521-4742
(707) 822-3621
Mailing address
PO BOX 660476, ARCADIA, CA 91066-0476
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A22497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A224970
—
CA
Enumeration date
03/25/2008
Last updated
03/25/2008
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