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Dr. Matthew Randal Humpal, MD
Student in an Organized Health Care Education/Training Program in South Sioux City, Nebraska
NPI 1609135375

Matthew Randal Humpal is a Student in an Organized Health Care Education/Training Program based in Mason City, NE. Matthew Randal Humpal practices in South Sioux City, NE and has the professional credentials of MD. The NPI Number for Matthew Randal Humpal is 1609135375 and holds a License No. MD-42604 (Nebraska).

The current practice location address for Matthew Randal Humpal is 501 1St Ave, South Sioux City, NE and can be reached out via phone at 402-494-3064 and via fax at 712-294-7299.

Location: 501 1St Ave, South Sioux City, NE, 50401-5489
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609135375
Provider Name
Matthew Randal Humpal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
501 1St Ave, South Sioux City, NE, 50401-5489
Phone Number
402-494-3064
Fax Number
712-294-7299
Provider Enumeration Date
05/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47068731712 05 NE
institution
Provider Business Practice Location Address Details
Address
501 1St Ave
City
South Sioux City
State
Nebraska
Zip
68776-1703
Phone Number
402-494-3064
Fax Number
712-294-7299
person
Provider Business Mailing Address Details
Address
501 1St Ave
City
South Sioux City
State
Nebraska
Zip
68776-1703
Phone Number
402-494-3064
Fax Number
712-294-7299
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD-42604 (Iowa)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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