Individual
STEPHEN HUMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 RAHLING CIRCLE, SUITE 2, LITTLE ROCK, AR 72223-9187
(501) 448-2510
(501) 448-2514
Mailing address
28 RAHLING CIRCLE, SUITE 2, LITTLE ROCK, AR 72223-9187
(501) 448-2510
(501) 448-2514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-5932
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179049001
—
AR
Enumeration date
05/29/2007
Last updated
03/16/2015
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