Individual
PAUL WILLIAM HUMPHREY
Active
Individual
PAUL WILLIAM HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R8N86
MO
2086S0129X
Vascular Surgery Physician
Primary
R8N86
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1284581
UNITED HEALTHCARE
MO
01
—
18421
ANTHEM BLUECROSS BLUESHIE
MO
05
—
203559109
—
MO
01
—
223429
HEALTHLINK, INC
MO
01
—
28058
GHP
MO
01
—
342470
PHCS
MO
01
—
3476
HEALTHCARE USA
MO
01
—
431428562
GREAT WEST
MO
01
—
4343322
AETNA
MO
01
—
F37040
MERCY
MO
Enumeration date
06/09/2005
Last updated
11/22/2021
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