Organization
HUFFMAN CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL SHANNON HUFFMAN DC (OWNER/PARTNER)
(928) 453-6808
Entity
Organization
Contact information
Practice address
1695 MESQUITE AVE STE 114, LAKE HAVASU CITY, AZ 86403-5647
(928) 453-6808
(928) 453-8485
Mailing address
1695 MESQUITE AVE STE 114, LAKE HAVASU CITY, AZ 86403-5647
(928) 453-6808
(928) 453-8485
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5112
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z1452
HEALTH NET
AZ
01
—
AZ0935770
BCBS AZ
AZ
Enumeration date
10/16/2006
Last updated
10/06/2008
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