Individual
DR. JOHN R. HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Enumeration date
05/03/2007
Last updated
07/08/2007
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