Individual
MR. JAMES HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 820-5554
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 820-5554
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R19211
NM
Other
Enumeration date
08/08/2006
Last updated
10/27/2010
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