Doctor Name: | DR. RODGER S. HUCKINS |
NPI Number: | 1003049461 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301017723 |
Business Practice Address: | 136 Coronado Court Sedona, AZ - 863517373 |
Business Phone Number: | 9282849686 |
Business Fax Number: | |
Mailing Address: | 136 Coronado Court, SEDONA |
State: | AZ |
Postal Code: | 863517373 |
Phone Number: | 9282849686 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2009 |
NPI Last Update Date: | 09/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301017723 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |