Doctor Name: | DR. JOHN CLEVELAND HUGHES |
NPI Number: | 1700084233 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 47944 |
Business Practice Address: | 227 Midland Ave 18b Basalt, CO - 816218364 |
Business Phone Number: | 9709270308 |
Business Fax Number: | 9709270394 |
Mailing Address: | 227 Midland Ave, 18b BASALT |
State: | CO |
Postal Code: | 816218364 |
Phone Number: | 9709270308 |
Fax Number: | 9709270394 |
NPI Enumeration Date: | 07/05/2007 |
NPI Last Update Date: | 11/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 47944 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |