Healthcare Provider Details

I. General information

NPI: 1730190315
Provider Name (Legal Business Name): RICHARD CURTIS HUFFAKER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RICHARD CURTIS HUFFAKER D.O.

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 BOOKCLIFF AVE SUITE 1
GRAND JUNCTION CO
81501-8162
US

IV. Provider business mailing address

1212 BOOKCLIFF AVE SUITE 1
GRAND JUNCTION CO
81501-8162
US

V. Phone/Fax

Practice location:
  • Phone: 970-245-3333
  • Fax: 970-243-0414
Mailing address:
  • Phone: 970-245-3333
  • Fax: 970-243-0414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number20189
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number20189
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number20189
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: