Provider Demographics
NPI:1295874642
Name:HUGHES, WILLIAM STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEVEN
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3810
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-3810
Mailing Address - Country:US
Mailing Address - Phone:417-347-3649
Mailing Address - Fax:417-347-9106
Practice Address - Street 1:1020 MCINTOSH CIR STE 102
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804
Practice Address - Country:US
Practice Address - Phone:417-347-4177
Practice Address - Fax:417-347-5026
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2000168800208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205093008Medicaid
MOG47071Medicare UPIN
MO205093008Medicaid