Organization
KNEE CENTERS NOCAL MEDICAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HUGHES M.D. (MEDICAL DIRECTOR)
(650) 504-8151
Entity
Organization
Contact information
Practice address
2675 STEVENSON BLVD, FREMONT, CA 94538-2317
(510) 791-5633
(510) 791-5634
Mailing address
585 W 500 S, SUITE 120, BOUNTIFUL, UT 84010-8199
(801) 617-2100
(801) 208-7050
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A78391
CA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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