Individual
DR. NEIL RUSSELL HUCKSTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3000
Mailing address
304 ACORN CT, VACAVILLE, CA 95688-5317
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
208D00000X
General Practice Physician
Primary
01096405A
IN
Other
Enumeration date
06/07/2023
Last updated
01/30/2026
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