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Individual

LOGAN D HIGBEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1000 N 8TH AVE, POCATELLO, ID 83201-5757
(208) 232-6260
Mailing address
500 S 11TH AVE STE 400, POCATELLO, ID 83201-4880
(208) 232-7862
(208) 232-7869

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1025
ID

Other

Enumeration date
07/28/2010
Last updated
02/26/2024
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