Individual
DEVAN HIGGINBOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1630 E HERNDON AVE, FRESNO, CA 93720-3391
(916) 734-3526
Mailing address
1270 E SPRUCE AVE, FRESNO, CA 93720-3312
(916) 734-3526
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
196222
CA
Other
Enumeration date
04/22/2019
Last updated
09/12/2025
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