Healthcare Provider Details

I. General information

NPI: 1033275599
Provider Name (Legal Business Name): FLOYD P HUXFORD D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 ELK ST
ROCK SPRINGS WY
82901-5247
US

IV. Provider business mailing address

706 ELK ST
ROCK SPRINGS WY
82901-5247
US

V. Phone/Fax

Practice location:
  • Phone: 307-362-5352
  • Fax: 307-382-7662
Mailing address:
  • Phone: 307-362-5352
  • Fax: 307-382-7662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number431
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: