Healthcare Provider Details

I. General information

NPI: 1043345382
Provider Name (Legal Business Name): SARAH CARD HUMPHREYS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 04/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E 9TH AVE STE 740
DENVER CO
80220-3911
US

IV. Provider business mailing address

4500 E 9TH AVE STE 740
DENVER CO
80220-3911
US

V. Phone/Fax

Practice location:
  • Phone: 720-941-1778
  • Fax: 720-941-1783
Mailing address:
  • Phone: 720-941-1778
  • Fax: 720-941-1783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number42491
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: