Organization
MESA OTOLARYNGOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD HUFFAKER D.O. (PRESIDENT)
(970) 245-3333
Entity
Organization
Contact information
Practice address
1212 BOOKCLIFF AVE, GRAND JUNCTION, CO 81501-8162
(970) 245-3333
(970) 243-0414
Mailing address
1212 BOOKCLIFF AVE, GRAND JUNCTION, CO 81501-8162
(970) 245-3333
(970) 243-0414
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
20189
CO
Other
Enumeration date
05/04/2011
Last updated
06/21/2011
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