PAUL WILLIAM HUMPHREY M.D. NPI 1528062338

NPI Information

Paul William Humphrey, M.D. is a vascular surgery surgery in Columbia, MO. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Paul William Humphrey, M.D. NPI is 1528062338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3220 BLUFF CREEK DR
STE 100
COLUMBIA, MO
ZIP 65201-525
Phone: (573) 443-8773
Fax: (573) 443-6843

The NPI 1528062338 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 11/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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