Individual
DR. MAURICE DEAN HUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4480 UTICA RIDGE RD, SUITE 110, BETTENDORF, IA 52722-1656
(563) 742-5100
Mailing address
PO BOX 850, MOLINE, IL 61266-0850
(309) 762-9711
(309) 764-0553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20280
IA
208D00000X
General Practice Physician
Primary
20280
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04719
WELLMARK OFFICE LOCATION
IA
05
—
0725093
—
IA
05
—
1725093
—
IA
05
—
2725093
—
IA
01
—
28892
WELLMARK FINLEY LOCATION
IA
01
—
28893
WELLMARK MAQUOKETA LOCATI
IA
05
—
34737600
—
WI
Enumeration date
09/14/2005
Last updated
05/01/2017
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