Provider Demographics
NPI:1053473223
Name:HUFF, HAROLD R (DPM)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:R
Last Name:HUFF
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:777 N 5TH AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3080
Mailing Address - Country:US
Mailing Address - Phone:360-582-2651
Mailing Address - Fax:360-582-2660
Practice Address - Street 1:777 N 5TH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3080
Practice Address - Country:US
Practice Address - Phone:360-582-2651
Practice Address - Fax:360-582-2660
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2011-05-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPO00000348213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0095446OtherWASHINGTON STATE L&I
494390OtherADVANTRA FREEDOM
HU4085OtherREGENCE
WA91133426702OtherKPS
G000500180OtherMEDICARE PROVIDER NUMBER
WA156996156996OtherPREMERA BLUE CROSS
0004530607OtherAETNA PIN
WA1013853Medicaid
WA611242OtherSTATE PROVIDER
WA911334267 98382 A001OtherTRICARE WEST
T01929OtherMEDICARE UPIN
WA480012744OtherRAILROAD MEDICARE
9467979OtherCIGNA
QMXPR0067619OtherMOLINA HEALTHCARE
G000500180OtherMEDICARE PROVIDER NUMBER
WA1013853Medicaid
WAG000500180Medicare PIN