Provider Demographics
NPI:1477525129
Name:HUFF, WILLIAM DAVID (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DAVID
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 1:2410 COMMERCE CT SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5679
Mailing Address - Country:US
Mailing Address - Phone:256-539-7722
Mailing Address - Fax:256-539-1816
Practice Address - Street 1:2410 COMMERCE CT SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5679
Practice Address - Country:US
Practice Address - Phone:256-539-7722
Practice Address - Fax:256-539-1816
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9804174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL24011OtherBLUE CROSS & BLUE SHIELD
0110037OtherUNITED HEALTH CARE
C72386Medicare UPIN
AL24011OtherBLUE CROSS & BLUE SHIELD