Healthcare Provider Details

I. General information

NPI: 1033132543
Provider Name (Legal Business Name): JEFFREY B HUFF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3211 W 20TH ST STE D
GREELEY CO
80634-6566
US

IV. Provider business mailing address

3211 W 20TH ST STE D
GREELEY CO
80634-6566
US

V. Phone/Fax

Practice location:
  • Phone: 970-356-3100
  • Fax: 970-356-4827
Mailing address:
  • Phone: 970-356-3100
  • Fax: 970-356-4827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number33731
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: