Individual
BRIAN HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1027 EVERGREEN ST, FAIRBANKS, AK 99709
(907) 451-8164
Mailing address
605 HUGHES AVE STE 100, FAIRBANKS, AK 99701-7539
(907) 451-8164
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
09/23/2016
Last updated
09/10/2019
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