Individual
DR. JON M HUMPHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6205
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 436-3980
(580) 421-6205
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
306
OK
Other
Enumeration date
09/03/2010
Last updated
01/06/2015
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