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NPI Code Detail

MEDICARE: JARED PRESTON HIGLEY MD

MEDICARE:   JARED PRESTON HIGLEY  MD
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
1208800000XUrology Physician31508OK

General Provider Information

NPI Number : 1790163467
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED PRESTON HIGLEY MD
Provider Business Mailing Address
First Line : 5401 N. PORTLAND AVE.
Second Line : STE 440
City : OKLAHOMA CITY
State : OK
Zip : 73112
Country : US
Telephone Number : 405-943-1137
Fax Number : 405-947-0731
Provider Business Practice Location Address
First Line : 5401 N. PORTLAND AVE.
Second Line : STE 440
City : OKLAHOMA CITY
State : OK
Zip : 73112
Country : US
Telephone Number : 405-943-1137
Fax Number : 405-947-0731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2015
Last Update Date : 02/17/2026

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Directions to “ JARED PRESTON HIGLEY MD” Practice Location

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