Individual
JOHN TATE HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4044
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A187603
CA
Other
Enumeration date
09/27/2018
Last updated
09/13/2024
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