DR. Bruce Wayne Higginbotham, MD

NPI #1679544225 in Lakewood, Washington

Provider Information

NPI Number: 1679544225
Entity Type: Individual
Name: DR. Bruce Wayne Higginbotham, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jan 31, 2006
Last Updated: Apr 2, 2012

Practice Location

Address: 10510 GRAVELLY LAKE DR SW
Address 2: COMMUNITY HEALTH CARE
City: Lakewood
State: Washington
ZIP Code: 98499-5036
Phone: (253) 722-1837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Emergency Medicine	207P00000X

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