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DR. KENT ALAN HUFFORD M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1487659272

Individual Registrant:
DR. KENT ALAN HUFFORD M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
150 VERA AVE  RIPON, CA 95366-2343 US
Tel: 209-599-4211  Fax: 209-599-7348

Contact information for business:
PO BOX 210  RIPON, CA 95366-0210 US
Tel: 209-599-4211  Fax: 209-599-7348

Registration Information:
NPI: 1487659272
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAG689480

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
TAX ID68-0242989CA01
00G689480CA05
RAIL ROAD MEDICARE08002487901




HEALTH CARE JOBS CA - Page 1



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