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NPI Code Detail

MEDICARE: DR. RICHARD H HUSTER MD

MEDICARE:  DR. RICHARD H HUSTER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianME10703FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15997544007OTHERFLCIGNA
264218OTHERFLBLUE CROSS
30623708OTHERFLAETNA

General Provider Information

NPI Number : 1114980802
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD H HUSTER MD
Provider Business Mailing Address
First Line : 740 W PLYMOUTH AVE
Second Line :
City : DELAND
State : FL
Zip : 32720-3282
Country : US
Telephone Number : 386-734-9122
Fax Number : 386-736-4348
Provider Business Practice Location Address
First Line : 740 W PLYMOUTH AVE
Second Line :
City : DELAND
State : FL
Zip : 32720-3282
Country : US
Telephone Number : 386-734-9122
Fax Number : 386-736-4348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 07/09/2007

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Directions to “ DR. RICHARD H HUSTER MD” Practice Location

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