Individual provider · Type 1 NPI
Diego Sebastian Humphrey, MD
Cardiovascular Disease Physician · Tahlequah, OK
NPI number
1073525515
Active
Practice location
1500 E. Downing #
Tahlequah, OK 74464
Fax (918) 207-0335
Mailing address
PO Box 1008
Tahlequah, OK 74465-1008
Other practice locations
- 300 Rockefeller Dr, Muskogee, OK 74401-5075 · (918) 682-5501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | 19979 (OK) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
About NPI 1073525515
Diego Sebastian Humphrey, MD's National Provider Identifier is 1073525515, issued on Aug 13, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Tahlequah, OK. The record was last updated on Apr 8, 2020.