# MESA OTOLARYNGOLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376835777
- **Authorized official:** DR. RICHARD HUFFAKER D.O. (PRESIDENT)
- **Authorized official phone:** (970) 245-3333

## Contact information

- **Practice address:** 1212 BOOKCLIFF AVE, GRAND JUNCTION, CO 81501-8162
- **Practice address phone:** (970) 245-3333
- **Practice address fax:** (970) 243-0414
- **Mailing address:** 1212 BOOKCLIFF AVE, GRAND JUNCTION, CO 81501-8162
- **Mailing address phone:** (970) 245-3333
- **Mailing address fax:** (970) 243-0414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 20189 | CO | Yes |

## Other

- **Enumeration date:** 05/04/2011
- **Last updated:** 06/21/2011