Individual
DR. ROBERT P HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 MALVERN AVE, HOT SPRINGS, AR 71901-7752
(501) 321-1000
Mailing address
PO BOX 22390, HOT SPRINGS, AR 71903-2390
(800) 235-1415
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C5065
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050091274
RR MEDICARE GROUP CK6327
—
05
—
102445001
—
AR
01
—
52525
AR BCBS
AR
Enumeration date
09/22/2005
Last updated
03/27/2008
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