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Individual

DR. WILLIAM BARDON HIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
850 W. IRONWOOD DR SUITE 102, COEUR D'ALENE, ID 83814
(208) 966-9376
(208) 966-5756
Mailing address
850 W. IRONWOOD DR SUITE 102, COEUR D'ALENE, ID 83814
(208) 777-7463
(208) 777-9659

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA982
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10148527
BLUE SHIELD REGENCE
ID
01
C4322
BLUE CROSS OF ID
ID
Enumeration date
08/31/2006
Last updated
10/08/2024
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