Individual
TIMOTHY E HUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1220 S HIGLEY RD STE 106, MESA, AZ 85206-4001
(602) 933-3937
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1815
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT-002422
AZ
152W00000X
Optometrist
TO2937
MO
152WP0200X
Pediatric Optometrist
Primary
OPT-002422
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080431
—
AZ
Enumeration date
05/01/2006
Last updated
01/27/2021
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