Individual
ANGELA M HIGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1229 E SEMINOLE ST, SUITE 520, SPRINGFIELD, MO 65804-2227
(417) 820-5750
(417) 820-5066
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2008017348
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172299720
—
AR
05
—
1922261122
—
MO
01
—
P00653952
RAILROAD MEDICARE
—
Enumeration date
07/08/2008
Last updated
01/30/2009
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