Individual
JOHN B HUMPHREY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6046 WHIPPLE AVE NW, NORTH CANTON, OH 44720
(330) 433-1200
(330) 305-5047
Mailing address
6046 WHIPPLE AVENUE NW, NORTH CANTON, OH 44720
(330) 433-1400
(330) 305-5047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35039433
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316116
—
OH
Enumeration date
03/17/2006
Last updated
11/21/2007
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