Individual
DR. CHARLES ROGERS HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 ROSS AVE, EL CENTRO, CA 92243-4306
(760) 355-2207
(760) 355-2207
Mailing address
PO BOX 1946, EL CENTRO, CA 92244-1946
(760) 355-2207
(760) 355-2207
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G23919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G239190
—
CA
Enumeration date
09/13/2006
Last updated
02/28/2008
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