Healthcare Provider Details

I. General information

NPI: 1053473223
Provider Name (Legal Business Name): HAROLD R HUFF DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 05/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 N 5TH AVE SUITE 101
SEQUIM WA
98382-3080
US

IV. Provider business mailing address

777 N 5TH AVE SUITE 101
SEQUIM WA
98382-3080
US

V. Phone/Fax

Practice location:
  • Phone: 360-582-2651
  • Fax: 360-582-2660
Mailing address:
  • Phone: 360-582-2651
  • Fax: 360-582-2660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO00000348
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: