Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 6826 | AK |
N | 207XS0117X | Orthopaedic Spine Surgeon | 6826 | AK |
NPI | 1144225798 |
---|---|
Provider Name | Dr. Steven Craig Humphreys |
First Address | Soldotna, AK 99669-7524 |
Second Address | Soldotna, AK 99669-7524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 10/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1144225798 | NPI (01) | AK |
MD9678 | (05) | AK |