Individual
DANIEL E HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5475 S 500 E FL 1, OGDEN, UT 84405-6905
(801) 479-2111
Mailing address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(801) 463-7415
(303) 436-2710
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01071385A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201102240
—
IN
Enumeration date
04/07/2011
Last updated
03/10/2026
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