Provider Demographics
NPI:1043345382
Name:HUMPHREYS, SARAH CARD (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CARD
Last Name:HUMPHREYS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 E 9TH AVE
Mailing Address - Street 2:STE 740
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3911
Mailing Address - Country:US
Mailing Address - Phone:720-941-1778
Mailing Address - Fax:720-941-1783
Practice Address - Street 1:4500 E 9TH AVE
Practice Address - Street 2:STE 740
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3911
Practice Address - Country:US
Practice Address - Phone:720-941-1778
Practice Address - Fax:720-941-1783
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42491208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics