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Contact Information

LANDON D HUMPHREY
1500 MUSEUM RD
CONWAY, AR72032-4785
 Phone: 501-932-9010
 Fax: 501-932-0020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for LANDON D HUMPHREY · (Male)

NPI Number 1649447806
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2008
Last updated 05/12/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • AR License # E-9315
  • AR Medicaid 210943001
  • LA Medicaid 05834
Hospital affiliation(s) Not Available
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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