Healthcare Provider Details

I. General information

NPI: 1518027887
Provider Name (Legal Business Name): MARIA R HUGI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2006
Last Update Date: 09/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA WA
98431-1100
US

IV. Provider business mailing address

1472 RICHMOND AVE
DUPONT WA
98327-9702
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-1390
  • Fax:
Mailing address:
  • Phone: 253-306-4754
  • Fax: 604-264-8769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD00028431
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: