Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | MD00027244 | WA |
Y | 213ES0000X | Sports Medicine | MD00027244 | WA |
NPI | 1003801754 |
---|---|
Provider Name | M Steven Hughes |
First Address | Bellevue, WA 98004-3035 |
Second Address | Bellevue, WA 98004-3035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2005 |
Last Update Date | 26/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E53781 | (02) |