Provider Demographics
NPI:1689866923
Name:HUGHES, RAY DAUSON (MD)
Entity Type:Individual
Prefix:
First Name:RAY
Middle Name:DAUSON
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3240
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85547-3240
Mailing Address - Country:US
Mailing Address - Phone:928-595-0301
Mailing Address - Fax:928-478-6500
Practice Address - Street 1:914 N BLAZING STAR CIR
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-1908
Practice Address - Country:US
Practice Address - Phone:928-595-0301
Practice Address - Fax:928-478-6500
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4331207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ037054Medicare UPIN