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1992019202
LOGAN D HIGBEE
POCATELLO, ID
NPI
1992019202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-1025)
Enumeration Date
2010-07-28
Last Update Date
2024-02-26
Business Address
LOGAN D HIGBEE PA-C
1000 N 8TH AVE
POCATELLO, ID 83201-5757
Phone number: 208-232-6260
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Mailing Address
LOGAN D HIGBEE PA-C
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number: 208-232-7862
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