Healthcare Provider Details

I. General information

NPI: 1457457020
Provider Name (Legal Business Name): RUTH HIGDON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RUTH ELAINE HIGDON MD

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 01/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2596 F RD
GRAND JUNCTION CO
81505-1443
US

IV. Provider business mailing address

PO BOX 1687
GRAND JUNCTION CO
81502-1687
US

V. Phone/Fax

Practice location:
  • Phone: 970-254-3180
  • Fax:
Mailing address:
  • Phone: 970-256-6322
  • Fax: 970-263-2691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number49375
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: