Provider Demographics
NPI:1982631123
Name:HUGHES, JOSEPH PRESTON (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PRESTON
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1250 E 3900 S
Mailing Address - Street 2:#320
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124
Mailing Address - Country:US
Mailing Address - Phone:801-266-1409
Mailing Address - Fax:801-266-0685
Practice Address - Street 1:1250 E 3900 S
Practice Address - Street 2:#320
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124
Practice Address - Country:US
Practice Address - Phone:801-266-1409
Practice Address - Fax:801-266-0685
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT1515781205208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD99459Medicare UPIN