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Individual

ROGER ALLEN HUGHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
MILE 186.5 GLENN HWY, GLENNALLEN, AK 99588
(907) 822-3203
(907) 822-5805
Mailing address
PO BOX 5, GLENNALLEN, AK 99588-0589
(907) 822-3203
(907) 822-5805

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
173
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588804306
NPI
AK
01
173
PA LICENSE
AK
Enumeration date
03/06/2009
Last updated
05/11/2009
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