Basic Information
Provider Information
NPI: 1922060771
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUFF
FirstName: WILLIAM
MiddleName: DAVID
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4722 N 24TH ST
Address2: SUITE 150
City: PHOENIX
State: AZ
PostalCode: 850164800
CountryCode: US
TelephoneNumber: 6022564628
FaxNumber:  
Practice Location
Address1: 4722 N 24TH ST
Address2: SUITE 150
City: PHOENIX
State: AZ
PostalCode: 850164800
CountryCode: US
TelephoneNumber: 6022564628
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/05/2006
LastUpdateDate: 07/27/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X26844AZY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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