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Organization
TED HUMPHRY, M.D., INC.
Active
Organization
TED HUMPHRY, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE RIGGS HUMPHRY M.D. (PRESIDENT)
(707) 822-2441
Entity
Organization
Contact information
Practice address
827 BAYSIDE RD, ARCATA, CA 95521-6403
(707) 822-2441
(707) 826-1026
Mailing address
827 BAYSIDE RD, ARCATA, CA 95521-6403
(707) 822-2441
(707) 826-1026
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G33651
CA
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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