Individual
DAVID HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4732 E MERCER WAY, MERCER ISLAND, WA 98040-4734
(206) 391-8017
Mailing address
4732 E MERCER WAY, MERCER ISLAND, WA 98040-4734
(206) 391-8017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025209
WA
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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