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Individual

DR. STEPHEN W HUMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 335-6671
(573) 339-0083
Mailing address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 335-6671
(573) 339-0083

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2025016242
MO
2085R0202X
Diagnostic Radiology Physician
42967
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51275716
CO
01
P00412949
RAILROAD MEDICARE
CO
Enumeration date
10/13/2006
Last updated
05/14/2025
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