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Individual
MR. ALAN HIGHTOWER
Active
Individual
MR. ALAN HIGHTOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002461A
IN
363A00000X
Physician Assistant
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196290259
MEDICARE
IN
05
—
300016579
—
IN
05
—
7100919880
—
KY
Enumeration date
10/31/2017
Last updated
04/04/2024
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