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Contact Information

DIEGO S HUMPHREY, MD
1500 E. DOWNING #
TAHLEQUAH, OK74464
 Phone: 918-207-0882
 Fax: 918-207-0335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DIEGO S HUMPHREY · (Male)

NPI Number 1073525515
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2006
Last updated 04/08/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 19979
  • OK Medicaid 100037340A
Hospital affiliation(s)
  • MEMORIAL HOSPITAL OF STILWELL - (Acute Care)
    1401 WEST LOCUST
    STILWELL, OK 74960
  • TAHLEQUAH CITY HOSPITAL - (Acute Care)
    1400 EAST DOWNING STREET
    TAHLEQUAH, OK 74465
  • W W HASTINGS INDIAN HOSPITAL - (Acute Care)
    100 S BLISS AVENUE
    TAHLEQUAH, OK 74464
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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