CLARK R HIGGANBOTHAM

TULSA, OK
NPI1164042560
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: OK  47339)
Enumeration Date2020-04-26
Last Update Date2026-06-25
Business Address
Mr. CLARK R HIGGANBOTHAM
10901 E 48TH ST
TULSA, OK 74146-5830
Phone number: 918-749-8765
Mailing Address
Mr. CLARK R HIGGANBOTHAM
10901 E 48TH ST
TULSA, OK 74146-5830
Phone number: 918-749-8765
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