Individual
LOGAN HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 CALISTA DRIVE, BETHEL, AK 99559-0528
(907) 543-6730
(907) 543-6712
Mailing address
PO BOX 528, ATTN: BH PATC PROGRAM, BETHEL, AK 99559-0528
(907) 543-6730
(907) 543-6712
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
02/02/2017
Last updated
02/02/2017
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