Individual
DR. ISAAC PAUL HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691
Mailing address
4340 WALLINGTON DR, KETTERING, OH 45440-1236
(937) 643-8130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.089624
OH
207R00000X
Internal Medicine Physician
OHIO TRAINING
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096720
—
OH
Enumeration date
11/01/2006
Last updated
05/04/2017
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