Individual
MARK J HIGGS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3357
(800) 277-8151
Mailing address
L 2771, COLUMBUS, OH 43260-0001
(800) 277-8151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22561
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068367000
—
WV
Enumeration date
09/13/2005
Last updated
07/08/2007
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