Healthcare Provider Details

I. General information

NPI: 1326006354
Provider Name (Legal Business Name): TERRY ARTHUR HUFF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6242 E ARBOR AVE STE 107
MESA AZ
85206-1309
US

IV. Provider business mailing address

PO BOX 748860
ATLANTA GA
30374-1309
US

V. Phone/Fax

Practice location:
  • Phone: 480-897-8000
  • Fax: 480-830-3690
Mailing address:
  • Phone: 480-897-8000
  • Fax: 480-830-3690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number20570
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number20570
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: