Individual
DR. RONALD SCOTT HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7685 W EMERALD ST, BOISE, ID 83704-9018
(208) 376-2522
(208) 375-5860
Mailing address
7685 W EMERALD ST, BOISE, ID 83704-9018
(208) 376-2522
(208) 375-5860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-50
ID
Other
Enumeration date
06/13/2005
Last updated
02/28/2011
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