Individual
DR. ROBERT W HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3855 BROAD STREET, STE B, SAN LUIS OBISPO, CA 93401
(805) 545-8100
(805) 545-8902
Mailing address
3855 BROAD STREET, STE B, SAN LUIS OBISPO, CA 93401
(805) 545-8100
(805) 545-8902
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G28752
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G28752
MEDICAL LICENSE NUMBER
CA
Enumeration date
06/01/2005
Last updated
03/30/2016
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