Mark David Wigod in Meridian - Plastic And Reconstructive Surgery
Mark David Wigod - NPI 1427086164
Mark David Wigod is a Plastic And Reconstructive Surgery in Meridian, Idaho. Mark David Wigod practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Mark David Wigod is 1427086164. The last update date is 2007-07-08.
Mark David Wigod's current location address is 3630 E Louise Drive, Meridian, Idaho. You can contact this provider via phone number 2083779515 and fax number 2083779517. The mailing address for Mark David Wigod is 3630 E Louise Drive, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark David Wigod |
|---|---|
| Address | 3630 E Louise Drive, Meridian, Idaho |
| Phone Number | 2083779515 |
| Fax Number | 2083779517 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1427086164 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3630 E Louise Drive |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836420 |
| Phone Number | 2083779515 |
| Fax Number | 2083779517 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | M8189 |
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Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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Post Comment/ Review Below
What is the unique identifier code issued to Mark David Wigod by the Centers for Medicare & Medicaid Services (CMS)?
The Mark David Wigod has been assigned the NPI (National Provider Identifier) 1427086164. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Mark David Wigod is physically located?
The Mark David Wigod is physically situated at the following address: 3630 E Louise Drive, Meridian, ID, 836420.
What is Mark David Wigod's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark David Wigod is Plastic And Reconstructive Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0122X.
On what date did the Mark David Wigod receive the assignment of its 1427086164 from the Centers for Medicare & Medicaid Services?
The Mark David Wigod was issued its 1427086164 by the Centers for Medicare & Medicaid Services on 2006-06-29.
As of what date were the details related to Mark David Wigod most recently updated or revised?
The information pertaining to Mark David Wigod, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.