Individual
DR. DWIGHT HUMPHERYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941
(928) 338-3740
(928) 338-5508
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-5508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3820
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427335140
—
AZ
05
—
1427335181
—
AZ
05
—
20561
—
AZ
05
—
722737
—
AZ
Enumeration date
08/15/2006
Last updated
03/14/2013
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