Healthcare Provider Details

I. General information

NPI: 1841346012
Provider Name (Legal Business Name): ANDREW GERARD HIGGINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2007
Last Update Date: 04/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6680 CRESTBROOK DR
MORRISON CO
80465-2232
US

IV. Provider business mailing address

6680 CRESTBROOK DR
MORRISON CO
80465-2232
US

V. Phone/Fax

Practice location:
  • Phone: 303-238-1660
  • Fax:
Mailing address:
  • Phone: 303-238-1660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number24227
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: