Individual
THOMAS IRA HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
74 BOGACHIEL, CLALLAM BAY MEDICAL CLINIC, CLALLAM BAY, WA 98326
(360) 963-2202
(360) 963-2905
Mailing address
PO BOX 720, FORKS, WA 98331-0720
(360) 374-5470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003261
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8208977
—
WA
Enumeration date
03/07/2006
Last updated
06/15/2011
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