Individual
MRS. PATRICIA NICHOLETTE VIGDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2620 CONSTITUTION BLVD, UPPER LEVEL, BEAVER FALLS, PA 15010-1278
(724) 843-0737
(724) 770-7922
Mailing address
2620 CONSTITUTION BLVD, UPPER LEVEL, BEAVER FALLS, PA 15010-1278
(724) 843-0737
(724) 770-7922
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34-00-7995-V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000270699
ANTHEM
—
01
—
001676353
HIGHMARK
—
01
—
07-04473
UHC
—
01
—
160060013
RAILROAD MEDICARE
—
05
—
2380918
—
OH
01
—
341931777
PPO NEXT
—
01
—
34193177700
WORKERS COMP.
—
01
—
341931777D
AULTCARE
—
01
—
341931777PV
SUMMA CARE
—
01
—
4639496
AETNA
—
01
—
5385264
CIGNA/HEALTHSOURCE
—
01
—
799782
GREAT WEST HEALTH
—
Enumeration date
07/14/2005
Last updated
08/24/2015
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