Individual
ANDRE J HUFFMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7560 CALLE CONTENTA, CORRALES, NM 87048-9065
(970) 629-2489
Mailing address
PO BOX 1237, CORRALES, NM 87048-1237
(970) 629-2489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23974
CO
207Q00000X
Family Medicine Physician
Primary
80-45
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01239748
—
CO
01
—
080055186
RAIL ROAD MEDICARE
CO
01
—
39528
BC/BS ANTHEM
CO
Enumeration date
06/21/2006
Last updated
06/11/2009
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