MEDICARE: DR. STEVEN GALE HIGGINS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	7411	AZ

General Provider Information

NPI Number	:	1427051812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN GALE HIGGINS D.C.

Provider Business Mailing Address
First Line	:	4252 N VERRADO WAY STE 203
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85396-7499
Country	:	US
Telephone Number	:	623-322-5078
Fax Number	:	623-322-5486

Provider Business Practice Location Address
First Line	:	4252 N VERRADO WAY STE 203
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85396-7499
Country	:	US
Telephone Number	:	623-322-5078
Fax Number	:	623-322-5486

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	11/12/2015

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