Individual
JOHN G HIGHFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
916 INDIANA AVE, STE 110, PUEBLO, CO 81004-3572
(719) 566-9120
(719) 566-9121
Mailing address
916 INDIANA AVE, SUITE 110, PUEBLO, CO 81004-3572
(719) 566-9120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39397
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080153127
MEDICARE RAILROAD
CO
01
—
200180057
TAX ID #
CO
05
—
86502751
—
CO
01
—
95999
PACIFICARE PPO
CO
01
—
HI657288
BCBS
CO
01
—
P00111767
RAILROAD MEDICARE
CO
Enumeration date
06/15/2005
Last updated
07/15/2010
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