MEDICARE: JON W HUGHES MD PC

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	207R00000X	Internal Medicine Physician	932625811205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	932625811205	OTHER	UT	MEDICAL LICENSE

General Provider Information

NPI Number	:	1851382493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JON W HUGHES MD PC

Provider Business Mailing Address
First Line	:	175 N 100 W
Second Line	:	STE 205-A
City	:	VERNAL
State	:	UT
Zip	:	84078-2049
Country	:	US
Telephone Number	:	435-789-9272
Fax Number	:	435-789-9222

Provider Business Practice Location Address
First Line	:	175 N 100 W
Second Line	:	STE 205-A
City	:	VERNAL
State	:	UT
Zip	:	84078-2049
Country	:	US
Telephone Number	:	435-789-9272
Fax Number	:	435-789-9222

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	03/07/2023

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Directions to “ JON W HUGHES MD PC” Practice Location

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