Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 4526 | OK |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | DO157588 | OR |
NPI | 1841498300 |
---|---|
Provider Name | Dr. Richard K Huffaker |
First Address | Medford, OR 97504-8344 |
Second Address | Grants Pass, OR 97526-1064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2007 |
Last Update Date | 28/05/2015 |