Theodore Riggs Humphry, M.D.

NPI #1467537415 in Mckinleyville, California

Provider Information

NPI Number: 1467537415
Entity Type: Individual
Name: Theodore Riggs Humphry, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Oct 26, 2006
Last Updated: Mar 12, 2012

Practice Location

Address: 1644 CENTRAL AVE
City: Mckinleyville
State: California
ZIP Code: 95519-4342
Phone: (707) 839-2677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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