Individual
DR. BRENT ALAN HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3009 N BALLAS RD STE 102B, SAINT LOUIS, MO 63131-2343
(314) 996-7080
(314) 996-7085
Mailing address
3009 N BALLAS RD STE 102B, SAINT LOUIS, MO 63131-2343
(314) 996-7080
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2018025695
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200462850
—
IN
01
—
P00742312
RAILROAD MEDICARE PTAN
IN
Enumeration date
06/20/2006
Last updated
03/04/2021
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