Individual
MR. RANDY RAY HUGHSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
982 CHAMBERS ST, OGDEN, UT 84403-4571
(801) 479-4105
Mailing address
768 DAVID WAY, NORTH SALT LAKE, UT 84054-1540
(801) 936-5711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
282072-1206
UT
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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