Mark D. Wigod, Md, Pa in Meridian - Plastic And Reconstructive Surgery
Mark D. Wigod, Md, Pa - NPI 1679751770
Mark D. Wigod, Md, Pa is a Plastic And Reconstructive Surgery in Meridian, Idaho. Mark D. Wigod, Md, Pa practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Mark D. Wigod, Md, Pa is 1679751770. The last update date is 2008-01-31.
Mark D. Wigod, Md, Pa's current location address is 3630 E Louise Dr, Meridian, Idaho. You can contact this provider via phone number 2083779515. The mailing address for Mark D. Wigod, Md, Pa is 3630 E Louise Dr, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark D. Wigod, Md, Pa |
|---|---|
| Address | 3630 E Louise Dr, Meridian, Idaho |
| Phone Number | 2083779515 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wigod David Mark |
| Credentials | MD |
| Telephone Number | 2083779515 |
NPI Number Detail
| NPI Number | 1679751770 |
|---|---|
| Provider Enumeration Date | 2008-01-31 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 3630 E Louise Dr |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836427975 |
| Phone Number | 2083779515 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | M8189 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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Post Comment/ Review Below
What is the Mark D. Wigod, Md, Pa's unique identification number?
The Mark D. Wigod, Md, Pa has been assigned the NPI (National Provider Identifier) Number 1679751770 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Mark D. Wigod, Md, Pa is geographically located?
The Mark D. Wigod, Md, Pa is physically situated at the following location: 3630 E Louise Dr, Meridian, ID, 836427975.
What is Mark D. Wigod, Md, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark D. Wigod, Md, Pa's area of specialization is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0122X.
When did the Mark D. Wigod, Md, Pa receive its 1679751770?
The Mark D. Wigod, Md, Pa was issued its 1679751770 on 2008-01-31, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mark D. Wigod, Md, Pa most recently updated or revised?
The information pertaining to Mark D. Wigod, Md, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-31.