Provider Demographics
NPI:1861713000
Name:HUFFAKER, STEPHEN J (MD, PHD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:HUFFAKER
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:450 BROADWAY ST
Mailing Address - Street 2:STANFORD UNIVERSITY SCHOOL OF MEDICINE, DEPT OF ORTHO
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-3132
Mailing Address - Country:US
Mailing Address - Phone:650-721-7629
Mailing Address - Fax:650-721-3470
Practice Address - Street 1:450 BROADWAY ST
Practice Address - Street 2:STANFORD UNIVERSITY SCHOOL OF MEDICINE, DEPT OF ORTHO
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-3132
Practice Address - Country:US
Practice Address - Phone:650-721-7629
Practice Address - Fax:650-721-3470
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2021-12-17
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Provider Licenses
StateLicense IDTaxonomies
CAA135749207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery