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Individual
DAVID J. HUDDLESTON
Active
Individual
DAVID J. HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036092804
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2019-0237
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360928042
—
IL
01
—
220026797
RR MCR
IL
Enumeration date
03/30/2006
Last updated
08/05/2019
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