Provider Demographics
NPI:1033275599
Name:HUXFORD, FLOYD P (DC)
Entity Type:Individual
Prefix:
First Name:FLOYD
Middle Name:P
Last Name:HUXFORD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 ELK ST
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-5247
Mailing Address - Country:US
Mailing Address - Phone:307-362-5352
Mailing Address - Fax:307-382-7662
Practice Address - Street 1:706 ELK ST
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-5247
Practice Address - Country:US
Practice Address - Phone:307-362-5352
Practice Address - Fax:307-382-7662
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY431111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY4671022Medicare ID - Type Unspecified