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NPI Code Detail

MEDICARE: JAMES ANDREW HUDDLESTON DO

MEDICARE: JAMES ANDREW HUDDLESTON DO
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 Physician34-007221OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00445295OTHEROHRAILROAD MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457343196
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ANDREW HUDDLESTON DO
Provider Business Mailing Address
First Line : 1811 E MCMURRAY BLVD
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-5404
Country : US
Telephone Number : 520-374-6530
Fax Number :
Provider Business Practice Location Address
First Line : 1811 E MCMURRAY BLVD
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-5404
Country : US
Telephone Number : 520-374-6530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 01/16/2025

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