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Individual

MR. ROBERT T HIGGINSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1250 E MARSHALL STREET, INTERNAL MEDICINE, RICHMOND, VA 23298-0510
(804) 628-0153
(804) 828-2338
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840343
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010107130 541581185
VA
Enumeration date
10/31/2006
Last updated
08/30/2011
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