Diego Sebastian Humphrey MD

NPI 1073525515 - Internal Medicine - 207RC0000X

NPI Details
NPI 1073525515
Gender Male
Enumeration Date 08/13/2006
Last Updated 05/12/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1500 E. DOWNING #
Phone (918) 207-0882
Fax (918) 207-0335
Business Location
PO BOX 1008
TAHLEQUAH OK, 74465-1008, US
Phone (918) 207-0882
Fax (918) 207-0335
Taxonomy Code 207RC0000X
License State Oklahoma
License Number 19979
Remove 1073525515 NPI Number

According to our database, Dr. Diego Sebastian Humphrey MD NPI is 1073525515, taxonomy code is 207RC0000X and license number is 19979, license state is located at Oklahoma. Diego Sebastian Humphrey MD physically located at 1500 E. Downing #, Tahlequah OK, 74464. NPI Number Diego Sebastian Humphrey MD has the Individual type.

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1073525515 NPI number is provided on an as is basis without warranty of any kind. 1073525515 is maintained by the National Plan & Provider Enumeration System. The contents of Diego Sebastian Humphrey MD are for informational purposes only.