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Individual

HEIDI R UMPHREY

Active
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Individual

HEIDI R UMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25090
AL
2085R0202X
Diagnostic Radiology Physician
Primary
55816
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08276596
MS
05
110019
AL
01
51598240
BCBS OF AL
AL
01
P00779110
RAILROAD MEDICARE
AL
Enumeration date
05/14/2007
Last updated
11/25/2024
Update your record

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