Organization Name: | JOANNE I. HUNTINGTON MD PC |
NPI Number: | 1184870669 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOANNE I HUNTINGTON (PRESIDENT) |
Mailing Address: | 309 Sixth Street Unit A Crested Butte |
State: | CO US |
Postal Code: | 81224 |
Phone Number: | 9703497193 |
Fax Number: | 8662453787 |
NPI Enumeration Date: | 08/15/2008 |
NPI Last Update Date: | 12/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 45619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |