MEDICARE: MR. PATRICK M. HUGHES M.S., ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1760519326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PATRICK M. HUGHES M.S., ATC

Provider Business Mailing Address
First Line	:	3802 BARRY DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59105-4712
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 UNIVERSITY DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-0245
Country	:	US
Telephone Number	:	406-657-2375
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

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