MEDICARE: CHARLES GENE HUGHES D.O.

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	207N00000X	Dermatology Physician	22263	CO
2	207ND0900X	Dermatopathology Physician	22263	CO
3	207NS0135X	Procedural Dermatology Physician	22263	CO

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

General Provider Information

NPI Number	:	1982696639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES GENE HUGHES D.O.

Provider Business Mailing Address
First Line	:	685 MISSION HILL WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-2671
Country	:	US
Telephone Number	:	719-488-8724
Fax Number	:	719-531-9545

Provider Business Practice Location Address
First Line	:	685 MISSION HILL WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-2671
Country	:	US
Telephone Number	:	719-488-8724
Fax Number	:	719-531-9545

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	03/05/2014

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