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

MARK D. WIGOD, MD, PA

Active Organization

MARK D. WIGOD, MD, PA is a Plastic and Reconstructive Surgery organization located in MERIDIAN, Idaho. NPI 1679751770 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · MERIDIAN, ID

Registration Details

NPI Number
1679751770
Provider Type
Organization
NPI Issued
Jan 31, 2008 (18.545801653754 yrs)
Last Updated
Jan 31, 2008
License
M8189 (ID)

Practice Information

Address
3630 E LOUISE DR
MERIDIAN, ID, 836427975
Browse ID providers · Browse ZIP 83642
Phone
2083779515
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Organizations in MERIDIAN, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.