# DR. CLINT G HUMPHERYS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215161807
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 2024019541 | MO | — |
| 207L00000X | Anesthesiology Physician | 42188 | AZ | — |
| 207LP3000X | Pediatric Anesthesiology Physician | 2024019541 | MO | — |
| 207LP3000X | Pediatric Anesthesiology Physician | 47520 | OK | Yes |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 05/19/2026