Provider Demographics
NPI:1053536060
Name:HUGHES, STEPHEN M (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:M
Last Name:HUGHES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4375 N. VANTAGE DR.
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4984
Mailing Address - Country:US
Mailing Address - Phone:479-443-5100
Mailing Address - Fax:479-443-5117
Practice Address - Street 1:4375 N. VANTAGE DR.
Practice Address - Street 2:SUITE 305
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4984
Practice Address - Country:US
Practice Address - Phone:479-443-5100
Practice Address - Fax:479-443-5117
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2013-07-31
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Provider Licenses
StateLicense IDTaxonomies
ARE4597207R00000X
SCTL31228207ZD0900X
ARE-4597207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine