Richard Lee Wigle in Shreveport - Surgery

Richard Lee Wigle - NPI 1295759850

Richard Lee Wigle is a Surgery in Shreveport, Louisiana. Richard Lee Wigle practices all healthcare services and medical treatments related to Surgery. The NPI Number for Richard Lee Wigle is 1295759850. The last update date is 2012-07-30.

Richard Lee Wigle's current location address is 1512 W Kirby Pl, Shreveport, Louisiana. You can contact this provider via phone number 3186755177. The mailing address for Richard Lee Wigle is 1512 W Kirby Pl, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Lee Wigle
Address 1512 W Kirby Pl, Shreveport, Louisiana
Phone Number 3186755177
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1295759850
Provider Enumeration Date 2006-07-27
Last Updated Date 2012-07-30

Provider Mailing Address Detail

Address 1512 W Kirby Pl
City Shreveport
State Louisiana (LA)
Post Code 711033822
Phone Number 3186755177
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No G1230
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1032824 LA --
4K995F600 LA MEDICARE - PTAN

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FAQs about Richard Lee Wigle

What is the unique 10-digit identification code issued to Richard Lee Wigle by the Centers for Medicare & Medicaid Services?

The Richard Lee Wigle has been assigned the NPI (National Provider Identifier) 1295759850 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Richard Lee Wigle's facilities are geographically located?

The facilities of Richard Lee Wigle are physically situated at the following location: 1512 W Kirby Pl, Shreveport, LA, 711033822.

What is Richard Lee Wigle's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Richard Lee Wigle is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1295759850 to Richard Lee Wigle?

The Richard Lee Wigle received its 1295759850 assignment from the Centers for Medicare & Medicaid Services on 2006-07-27.

As of what date were the details pertaining to Richard Lee Wigle last refreshed?

The information related to the Richard Lee Wigle, including its address, specialty, and other relevant details, was last updated on 2012-07-30.

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