Individual
JAMES ANDREW HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1811 E MCMURRAY BLVD, CASA GRANDE, AZ 85122-5404
(520) 374-6530
Mailing address
1811 E MCMURRAY BLVD, CASA GRANDE, AZ 85122-5404
(520) 374-6530
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34-007221
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157491
—
OH
01
—
P00445295
RAILROAD MEDICARE PTAN
OH
Enumeration date
08/18/2005
Last updated
01/16/2025
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