Healthcare Provider Details

I. General information

NPI: 1871851766
Provider Name (Legal Business Name): PATRICK A HUFFER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2012
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 E 48TH AVE
DENVER CO
80216-2253
US

IV. Provider business mailing address

2101 E 48TH AVE
DENVER CO
80216-2253
US

V. Phone/Fax

Practice location:
  • Phone: 303-458-5302
  • Fax: 303-433-7452
Mailing address:
  • Phone: 303-458-5302
  • Fax: 303-433-7452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR62972
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberDR62972
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: