Healthcare Provider Details
I. General information
NPI: 1316941156
Provider Name (Legal Business Name): STEVEN RONALD HUFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/09/2005
Last Update Date: 09/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2014 BALTIMORE REYNOLDSBURG RD
REYNOLDSBURG OH
43068-3261
US
IV. Provider business mailing address
5450 FRANTZ RD STE 250
DUBLIN OH
43016-4134
US
V. Phone/Fax
- Phone: 614-533-6440
- Fax: 614-533-0140
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 0101052226 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 35122033 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: