Individual
DAVID ROBERT HUYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SAINT ANTHONYS WAY, ALTON, IL 62002-4568
(618) 465-4520
Mailing address
36 GARDEN CTR, BROOMFIELD, CO 80020-1730
(303) 465-0401
(303) 404-2317
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036118652
IL
2085R0202X
Diagnostic Radiology Physician
2003003392
MO
2085R0202X
Diagnostic Radiology Physician
36477
IA
2085R0202X
Diagnostic Radiology Physician
50881
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL4399003
MEDICARE
IL
05
—
Q047533
—
TN
Enumeration date
05/31/2006
Last updated
07/23/2025
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