Individual provider · Type 1 NPI
Jon M. Humphers, D.P.M
Foot & Ankle Surgery Podiatrist · Ada, OK
NPI number
1619284155
Active
Practice location
1921 Stonecipher Dr
Ada, OK 74820-3439
Fax (580) 421-6205
Mailing address
1921 Stonecipher Blvd
Ada, OK 74820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 306 (OK) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1619284155
Jon M. Humphers, D.P.M's National Provider Identifier is 1619284155, issued on Sep 3, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Ada, OK. The record was last updated on Jan 6, 2015.