Healthcare Provider Details

I. General information

NPI: 1669454443
Provider Name (Legal Business Name): ANDREW G HUGHES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 S 7TH AVE
STERLING CO
80751-4557
US

IV. Provider business mailing address

PO BOX 20970
CHEYENNE WY
82003-7020
US

V. Phone/Fax

Practice location:
  • Phone: 970-526-2589
  • Fax: 970-526-0244
Mailing address:
  • Phone: 307-773-8237
  • Fax: 307-773-8013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.00286682
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: