Individual
MARY HUFFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Mailing address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
302909
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01578772
—
MS
05
—
2429523
—
LA
Enumeration date
06/29/2016
Last updated
03/29/2018
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