Healthcare Provider Details

I. General information

NPI: 1609175827
Provider Name (Legal Business Name): M. SCOTT HUFF MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2011
Last Update Date: 07/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6053 S FASHION SQUARE DR #100
MURRAY UT
84107-5439
US

IV. Provider business mailing address

5450 S GREEN ST STE B
MURRAY UT
84123-5632
US

V. Phone/Fax

Practice location:
  • Phone: 801-262-0098
  • Fax: 801-262-5063
Mailing address:
  • Phone: 801-663-3332
  • Fax: 801-716-7889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK SCOTT HUFF
Title or Position: PRESIDENT/CHAIRPERSON
Credential: MD
Phone: 801-663-3332