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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
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(855) 903-0985
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
Primary
2024019541
MO

Other

Enumeration date
05/11/2009
Last updated
04/20/2026
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