Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN J WIGGENHORN, D.O.
Active Sole ProprietorJONATHAN J WIGGENHORN, D.O. is a Sleep Medicine (Otolaryngology) healthcare provider located in GOODYEAR, Arizona. NPI 1417983230 is currently active in the NPPES registry. Verify at CMS.
Sleep Medicine (Otolaryngology) · GOODYEAR, AZ
Registration Details
- NPI Number
- 1417983230
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2006 (20.182358158338 yrs)
- Last Updated
- Aug 17, 2020
- License
-
4738 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2700 N 140TH AVENUESTE 107GOODYEAR, AZ, 85395Browse AZ providers · Browse ZIP 85395
- Phone
- 6233538770
- Fax
- 6233538771
- Primary Specialty
-
Sleep Medicine (Otolaryngology)
207YS0123X
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.