Provider Demographics
NPI:1326006354
Name:HUFF, TERRY ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:ARTHUR
Last Name:HUFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 748860
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-1309
Mailing Address - Country:US
Mailing Address - Phone:480-897-8000
Mailing Address - Fax:480-830-3690
Practice Address - Street 1:6242 E ARBOR AVE STE 107
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-1309
Practice Address - Country:US
Practice Address - Phone:480-897-8000
Practice Address - Fax:480-830-3690
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20570174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ113134Medicaid
AZ113134Medicaid
AZF-47897Medicare UPIN