Individual
MR. DUSTAN THOMAS HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 B 12TH AVE RD, LIFESTAGES OBGYN, NAMPA, ID 83686
(208) 442-8035
(208) 442-8038
Mailing address
1611 B 12TH AVE RD, NAMPA, ID 83686
(208) 442-8035
(208) 442-8038
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M8105
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010150453
BLUE SHIELD
ID
05
—
806575300
—
ID
01
—
B4091
BLUE CROSS
ID
Enumeration date
07/03/2006
Last updated
04/22/2013
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