Provider Demographics
NPI:1063474161
Name:HUFF, ADAM LAYNE (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:LAYNE
Last Name:HUFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6065 S QUEBEC ST
Mailing Address - Street 2:STE 100
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111
Mailing Address - Country:US
Mailing Address - Phone:303-694-2323
Mailing Address - Fax:303-694-9191
Practice Address - Street 1:6065 S QUEBEC ST
Practice Address - Street 2:STE 100
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111
Practice Address - Country:US
Practice Address - Phone:303-694-2323
Practice Address - Fax:303-694-9191
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO35112208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01351121Medicaid
CO01351121Medicaid