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Organization
JOHN R. HUMPHRIES, M.D., APMC
Active
Organization
JOHN R. HUMPHRIES, M.D., APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R. HUMPHRIES M.D. (PRESIDENT)
(337) 235-3016
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR, SUITE 408, LAFAYETTE, LA 70503-2852
(337) 235-3016
(337) 269-0230
Mailing address
155 HOSPITAL DR, SUITE 408, LAFAYETTE, LA 70503-2852
(337) 235-3016
(337) 269-0230
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.012665
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320676
—
LA
01
—
4357678990
BLUE CROSS BLUE SHIELD
LA
Enumeration date
10/26/2006
Last updated
08/22/2020
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