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NPI Code Detail

MEDICARE: DR. DONALD BRUCE HUFFORD M.D.

MEDICARE: DR. DONALD BRUCE HUFFORD M.D.
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
1207Q00000XFamily Medicine PhysicianG50629CA

General Provider Information

NPI Number : 1629120795
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD BRUCE HUFFORD M.D.
Provider Business Mailing Address
First Line : 1331 GARDEN HWY
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95833-9755
Country : US
Telephone Number : 916-563-3186
Fax Number : 916-563-3182
Provider Business Practice Location Address
First Line : 1331 GARDEN HWY
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95833-9755
Country : US
Telephone Number : 916-563-3186
Fax Number : 916-563-3182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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