Organization
CHESTER F HIGDON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER F HIGDON MD (MD-OWNER)
(812) 479-4080
Entity
Organization
Contact information
Practice address
3700 BELLEMEADE AVE STE 204, EVANSVILLE, IN 47714-0126
(812) 479-4080
(812) 479-4090
Mailing address
3700 BELLEMEADE AVE STE 204, EVANSVILLE, IN 47714-0126
(812) 479-4080
(812) 479-4090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01025367
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042409
ANTHEM
IN
05
—
100246440
—
IN
Enumeration date
06/11/2007
Last updated
07/09/2010
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