Doctor Name: | DR. GAYLE A HUMM |
NPI Number: | 1700859469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 32448 |
Business Practice Address: | 17060 Oxbridge Rd Monument, CO - 801327930 |
Business Phone Number: | 7196489328 |
Business Fax Number: | |
Mailing Address: | 17060 Oxbridge Rd, MONUMENT |
State: | CO |
Postal Code: | 801327930 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/10/2006 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 32448 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |