Provider Demographics
NPI:1730190315
Name:HUFFAKER, RICHARD CURTIS (DO)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CURTIS
Last Name:HUFFAKER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:CURTIS
Other - Last Name:HUFFAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1212 BOOKCLIFF AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-8162
Mailing Address - Country:US
Mailing Address - Phone:970-245-3333
Mailing Address - Fax:970-243-0414
Practice Address - Street 1:1212 BOOKCLIFF AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8162
Practice Address - Country:US
Practice Address - Phone:970-245-3333
Practice Address - Fax:970-243-0414
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20189207Y00000X, 207YX0007X, 207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01201896Medicaid
CO01201896Medicaid
D23729Medicare UPIN