Individual
LANCE HUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
641 W WARNER RD, GILBERT, AZ 85233-7266
(480) 722-9828
Mailing address
1250 S CLEARVIEW AVE STE 100, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3303
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
765255
—
AZ
01
—
Z135579
MEDICARE PTAN
—
Enumeration date
12/21/2006
Last updated
04/16/2015
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