Individual
DR. DAVID JOHN HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3450 US ROUTE 60 E, BARBOURSVILLE, WV 25504-1609
(304) 955-6300
(304) 733-5903
Mailing address
3450 US ROUTE 60 E, BARBOURSVILLE, WV 25504-1609
(304) 955-6300
(304) 733-5903
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14902
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114725000
—
WV
05
—
0743226
—
OH
01
—
260008887
RAILROAD MEDICARE
—
Enumeration date
06/14/2006
Last updated
06/21/2011
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