Individual
THOMAS O HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 716-2800
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
58846571205
UT
Other
Enumeration date
08/05/2006
Last updated
03/27/2025
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