Individual
DR. MATTHEW ALEXANDER HUMPHREYS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, SAN DIEGO, CA 92134-1098
(619) 532-7935
(619) 532-7617
Mailing address
332 A AVE, CORONADO, CA 92118-1914
(619) 417-1168
(619) 532-7617
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
A105928
CA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A105928
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2007
Last updated
05/13/2024
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