Healthcare Provider Details

I. General information

NPI: 1215040480
Provider Name (Legal Business Name): MARGARET C HUGGINS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2990 CORTEZ AVE
IDAHO FALLS ID
83404
US

IV. Provider business mailing address

2990 CORTEZ AVE
IDAHO FALLS ID
83404
US

V. Phone/Fax

Practice location:
  • Phone: 208-535-0440
  • Fax: 208-535-0550
Mailing address:
  • Phone: 208-535-0440
  • Fax: 208-535-0550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberM9225
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberM-9225
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: