Mr. Clark R Higganbotham - Oklahoma City, OK

Mr. Clark R Higganbotham

Student in an Organized Health Care Education/Training Program in Oklahoma City, Oklahoma

NPI 1164042560

Clark R Higganbotham is a Student in an Organized Health Care Education/Training Program based in Nichols Hills, OK. Clark R Higganbotham practices in Oklahoma City, OK. The NPI Number for Clark R Higganbotham is 1164042560 and holds a License No. (Oklahoma).

The current practice location address for Clark R Higganbotham is 800 Stanton L Young Blvd, Oklahoma City, OK and can be reached out via phone at 405-271-2316.

Location: 800 Stanton L Young Blvd, Oklahoma City, OK, 73116-5301

NPI Number

1164042560

Provider Name

Clark R Higganbotham

Credential

Provider Entity Type

Individual

Gender

Male

Address

800 Stanton L Young Blvd, Oklahoma City, OK, 73116-5301

Phone Number

405-271-2316

Fax Number

Provider Enumeration Date

04/26/2020

Last Update Date

03/10/2024

Address

800 Stanton L Young Blvd

City

Oklahoma City

State

Oklahoma

Zip

73104-5018

Phone Number

405-271-2316

Fax Number

Address

800 Stanton L Young Blvd

City

Oklahoma City

State

Oklahoma

Zip

73104-5018

Phone Number

405-271-2316

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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