Provider Demographics
NPI:1942456934
Name:HUGGINS, GERALD ARLEN (DO)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:ARLEN
Last Name:HUGGINS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12633 IRVING CIRCLE
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020
Mailing Address - Country:US
Mailing Address - Phone:303-254-2605
Mailing Address - Fax:303-450-7463
Practice Address - Street 1:12633 IRVING CIRCLE
Practice Address - Street 2:COMPLETE FAMILY CARE
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020
Practice Address - Country:US
Practice Address - Phone:303-254-2605
Practice Address - Fax:303-450-7463
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15331207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO5282Medicare UPIN