Doctor Name: | PATRICK A HUCK |
NPI Number: | 1053678466 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 003458 |
Business Practice Address: | 799 Farson St Suite 210 Belpre, OH - 457141044 |
Business Phone Number: | 7404233082 |
Business Fax Number: | 7404233083 |
Mailing Address: | Po Box 449, MARIETTA |
State: | OH |
Postal Code: | 457500449 |
Phone Number: | 7403744500 |
Fax Number: | 7403745887 |
NPI Enumeration Date: | 04/23/2012 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 003458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |