Individual
TAMMY L HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16601 E CENTRETECH PKWY, AURORA, CO 80011-9045
(303) 739-3547
Mailing address
1178 DEER BLVD E, AVON, CO 81620
(970) 748-0234
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13020
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009011
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/28/2007
Last updated
07/08/2007
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