Individual
JASON M HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
2611 N VUELTA VISTA ANTIGUA, TUCSON, AZ 85715-3620
(520) 289-5411
Mailing address
2611 N VUELTA VISTA ANTIGUA, TUCSON, AZ 85715-3620
(520) 289-5411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2259
AZ
363AM0700X
Medical Physician Assistant
2259
AZ
363AS0400X
Surgical Physician Assistant
2259
AZ
Other
Enumeration date
08/03/2005
Last updated
05/05/2026
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