| NPI | 1760581409 |
|---|---|
| Doing Business As | HUMPHREY SHOULDER CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARL SCOTT HUMPHREY Owner 208-639-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M9563) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-02-13 |