Individual
DR. BENJAMIN DUANE HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DEPT IM, STE 5C, SAINT LOUIS, MO 63110-1032
(314) 362-7603
(314) 362-5770
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7603
(314) 362-5770
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2015012964
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200021728
—
MO
Enumeration date
06/13/2006
Last updated
04/17/2025
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