Organization
JOHN R. HUMPHRIES, M.D., APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R. HUMPHRIES M.D. (PRESIDENT)
(337) 235-3016
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR, SUITE 408, LAFAYETTE, LA 70503-2852
(337) 235-3016
(337) 269-0230
Mailing address
155 HOSPITAL DR, SUITE 408, LAFAYETTE, LA 70503-2852
(337) 235-3016
(337) 269-0230
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.012665
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320676
—
LA
01
—
4357678990
BLUE CROSS BLUE SHIELD
LA
Enumeration date
10/26/2006
Last updated
08/22/2020
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