Individual
LANDON D HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 MUSEUM RD, CONWAY, AR 72032-4785
(501) 932-9010
(501) 932-0020
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-1235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-9315
AR
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
E-9315
AR
208600000X
Surgery Physician
Primary
E-9315
AR
2086S0129X
Vascular Surgery Physician
E-9315
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05834
—
LA
05
—
210943001
—
AR
Enumeration date
05/15/2008
Last updated
05/12/2026
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