Provider Demographics
NPI:1750428280
Name:HUFFMAN, JOAN L (MD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:L
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0127
Mailing Address - Country:US
Mailing Address - Phone:406-237-7200
Mailing Address - Fax:406-237-7263
Practice Address - Street 1:1233 N 30TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0127
Practice Address - Country:US
Practice Address - Phone:406-237-7200
Practice Address - Fax:406-237-7263
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062299L2086S0127X
FLME668532086S0102X
MT190632086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA779709216AMedicaid
FL2778360-00Medicaid
FLP00464253Medicare PIN
PAF97015Medicare UPIN
FL2778360-00Medicaid