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Individual

SAMUEL L HUGHES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1808 W MAIN ST, RUSSELLVILLE, AR 72801
(479) 964-9119
Mailing address
PO BOX 2009, RUSSELLVILLE, AR 72811-2009
(479) 964-9119

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MA76583
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014869
NJ
01
010005690
AMERICHOICE
01
0871205000
AMERIHEALTH, KEYSTONE, IBC
01
1249860
AETNA
PA
05
1849627 0004
PA
01
1863592
INDEPENDENCE BC PABS
01
2521909
UNITED HEALTHCARE
01
2721771000
KEYSTONE IBC
01
30035096
KEYSTONE MERCY
01
3371019
AETNA
NJ
01
42278
UNIVERSITY HEALTHPLAN
01
60000607
HORIZON NJ HEALTH
01
6168488
CIGNA
01
950494
PENNSYLVANIA BLUE SHIELD
01
P00067988
RR MEDICARE
01
P3003991
OXFORD
NJ
Enumeration date
05/12/2006
Last updated
08/05/2024
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