Healthcare Provider Details

I. General information

NPI: 1033101746
Provider Name (Legal Business Name): MARGARET JANE HUFFMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N OWEN WALTERS BLVD
SALINA OK
74365-5003
US

IV. Provider business mailing address

2272 E 38TH ST
TULSA OK
74105-3406
US

V. Phone/Fax

Practice location:
  • Phone: 918-434-8500
  • Fax: 918-434-5051
Mailing address:
  • Phone: 918-744-5062
  • Fax: 918-742-9583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20301
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: