Healthcare Provider Details

I. General information

NPI: 1205160454
Provider Name (Legal Business Name): JOSEPH M. HUGHES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2009
Last Update Date: 09/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9596 E ROADRUNNER DR
SCOTTSDALE AZ
85262-1442
US

IV. Provider business mailing address

9596 E ROADRUNNER DR
SCOTTSDALE AZ
85262-1442
US

V. Phone/Fax

Practice location:
  • Phone: 480-595-5141
  • Fax: 480-595-5141
Mailing address:
  • Phone: 480-595-5141
  • Fax: 480-595-5141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberARIZONA
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number4936
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: