Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 20189 | CO |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 20189 | CO |
NPI | 1730190315 |
---|---|
Provider Name | Dr. Richard Curtis Huffaker |
First Address | Grand Junction, CO 81501-8162 |
Second Address | Grand Junction, CO 81501-8162 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 23/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01201896 | (05) | CO |
D23729 | (02) |