Individual
DR. SCOTT KERMIT HUFFAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O,
Contact information
Practice address
2985 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 523-3373
(208) 523-8746
Mailing address
2985 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 523-3373
(208) 523-8746
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101015361
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B50203
BCBSM
MI
01
—
0B51442
BCBS OF MI
MI
Enumeration date
05/02/2007
Last updated
01/29/2026
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