Individual
CLIFFORD MILTON WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
560 NW 14TH PL, CRYSTAL RIVER, FL 34428-3872
(352) 586-5407
Mailing address
560 NW 14TH PL, CRYSTAL RIVER, FL 34428-3872
(352) 586-5407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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