Individual
BENJAMIN RICH HUMPHERYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
(801) 525-8702
Mailing address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
(801) 525-8702
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4452
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
6565196-1204
UT
Other
Enumeration date
07/09/2006
Last updated
11/21/2017
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