Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | A745100 | CA |
NPI | 1144240003 |
---|---|
Provider Name | Dr. Jason T Huffman |
First Address | Napa, CA 94558-3306 |
Second Address | Napa, CA 94558-3306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 10/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A745100 | (05) | CA |
A745100 | LICENSE (01) | CA |
I13922 | (02) | CA |