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Individual

DR. CLINT G HUMPHERYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
920 STANTON L YOUNG BLVD STE 1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
(405) 271-8665
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2024019541
MO
207L00000X
Anesthesiology Physician
42188
AZ
207LP3000X
Pediatric Anesthesiology Physician
2024019541
MO
207LP3000X
Pediatric Anesthesiology Physician
Primary
47520
OK

Other

Enumeration date
05/11/2009
Last updated
05/19/2026
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