Individual
DR. JONATHAN RYAN HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235
(205) 838-3970
Mailing address
PO BOX 430127, VESTAVIA, AL 35243-1127
(155) 042-7736
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD31916
AL
Other
Enumeration date
04/10/2008
Last updated
07/10/2018
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