Individual
MR. MARK DAVID HUFFMAN
Active
Individual
MR. MARK DAVID HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
29931
KY
207W00000X
Ophthalmology Physician
39585
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049868
ANTHEM
KY
01
—
000000222015
BC
—
01
—
4032919
BC TENN GROUP
TN
05
—
64299316
—
KY
Enumeration date
09/29/2005
Last updated
09/03/2010
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