Whalio Doctors

NPI 1649584855

Lea Sarah Humphrey, DO

Practitioner Otolaryngology/Facial Plastic Surgery Physician Tahlequah, OK

Practice location

Address
1203 E Ross Byp, Tahlequah, OK 74464-4133
Phone
(918) 453-1234
Fax
(918) 453-9107
Mailing address
100 Mercy Way STE 560, Joplin, MO 64804-4524

Registered specialties (2)

Otolaryngology/Facial Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 6819 (OK)
Otolaryngology/Facial Plastic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 2010019023 (MO)

Registry record

NPI
1649584855
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Jul 2010
Record last updated
4 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.