# JOHN R. HUMPHRIES, M.D., APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437234812
- **Authorized official:** DR. JOHN R. HUMPHRIES M.D. (PRESIDENT)
- **Authorized official phone:** (337) 235-3016

## Contact information

- **Practice address:** 155 HOSPITAL DR, SUITE 408, LAFAYETTE, LA 70503-2852
- **Practice address phone:** (337) 235-3016
- **Practice address fax:** (337) 269-0230
- **Mailing address:** 155 HOSPITAL DR, SUITE 408, LAFAYETTE, LA 70503-2852
- **Mailing address phone:** (337) 235-3016
- **Mailing address fax:** (337) 269-0230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | MD.012665 | LA | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1320676 | — | LA |
| 01 | — | 4357678990 | BLUE CROSS BLUE SHIELD | LA |