Provider Demographics
NPI:1144266289
Name:HUFFMAN, JOHN W (DO)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CAHILL RD
Mailing Address - Street 2:STE. 206
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-2036
Mailing Address - Country:US
Mailing Address - Phone:417-348-8100
Mailing Address - Fax:417-348-8104
Practice Address - Street 1:121 CAHILL RD
Practice Address - Street 2:STE. 206
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-2036
Practice Address - Country:US
Practice Address - Phone:417-348-8100
Practice Address - Fax:417-348-8104
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO114455207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO249713702Medicaid
390258OtherHEALTHLINK
115799OtherBCBS
5069OtherCOX HEALTH SYSTEMS
P00136940OtherRAILROAD MEDICARE
MO249713702Medicaid
115799OtherBCBS