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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN WIGLEY

Active Sole Proprietor

JUSTIN WIGLEY is a Medical Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1326730912 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PHILADELPHIA, PA

Registration Details

NPI Number
1326730912
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2023 (3.2365836408594 yrs)
Last Updated
Aug 2, 2023
License
MA064683 (PA)
Sole Proprietor
Yes

Practice Information

Address
3400 SPRUCE ST
PHILADELPHIA, PA, 191044238
Browse PA providers · Browse ZIP 19104
Phone
2156624000
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in PHILADELPHIA, PA

Name Credential NPI
MR. JOSEPH D. NORRIS PA-C 1346247905
ROBERT W ROTHROCK PA-C 1508866377
MS. RITA A FOUST PA-C 1114906757
MR. GIUSEPPE ANTONIO SCRENCI MS, PA-C 1427020643
BRYAN DENNIS BOOTH PA-C 1548235179
MR. PAUL HOWELL ROLSTON M.M.SC., P.A.-C 1710953203
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.