Healthcare Provider Details

I. General information

NPI: 1568443463
Provider Name (Legal Business Name): STEVEN GARY HUFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 04/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 S BRYANT AVE
EDMOND OK
73034-6309
US

IV. Provider business mailing address

PO BOX 25887
OKLAHOMA CITY OK
73125-0887
US

V. Phone/Fax

Practice location:
  • Phone: 918-664-9892
  • Fax: 918-664-2521
Mailing address:
  • Phone: 918-664-9892
  • Fax: 918-664-2521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number23650
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: