| Doctor Name: | THEODORE RIGGS HUMPHRY |
| NPI Number: | 1467537415 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G33651 |
| Business Practice Address: | 1644 Central Ave Mckinleyville, CA - 955194342 |
| Business Phone Number: | 7078392677 |
| Business Fax Number: | 7078392747 |
| Mailing Address: | 670 9th St, Suite 203 ARCATA |
| State: | CA |
| Postal Code: | 955216248 |
| Phone Number: | 7078268633 |
| Fax Number: | 7078268638 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 03/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | G33651 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |