Provider Demographics
NPI:1114225885
Name:HAROLD R. HUFF, D.P.M.
Entity Type:Organization
Organization Name:HAROLD R. HUFF, D.P.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:R
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:360-582-2651
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-04
Last Update Date:2011-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO00000348213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0514730001Medicare NSC