Provider Demographics
NPI:1366494619
Name:HUGHES, WILLIAM FRANCIS (DPM)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:HUGHES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1816 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51501-3815
Mailing Address - Country:US
Mailing Address - Phone:712-323-1418
Mailing Address - Fax:712-323-0016
Practice Address - Street 1:1816 W BROADWAY
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501-3815
Practice Address - Country:US
Practice Address - Phone:712-323-1418
Practice Address - Fax:712-323-0016
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA432213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA5920590001Medicare NSC