Individual
PAUL HIGDON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 PALOMAS AVE NE, ALBUQUERQUE, NM 87109-5264
(505) 821-4200
Mailing address
1526 ALISO DR NE, ALBUQUERQUE, NM 87110-5604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3033
NM
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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