Individual
TY TOSHIRO HIGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35.097122
OH
208800000X
Urology Physician
49741
MN
208800000X
Urology Physician
Primary
51360
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31778275
—
CO
05
—
856638000
—
MN
01
—
P00804293
MEDICARE RAILROAD
MN
Enumeration date
04/26/2007
Last updated
06/11/2013
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