Organization
TOM WIGGINTON MEDICAL, INC.
Active
Other names
TW Medical
Organization subpart
No
Provider details
NPI number
Authorized official
TOM WIGGINTON (OWNER/MANAGING MEMBER)
(913) 908-6857
Entity
Organization
Contact information
Practice address
12616 W 62ND TERR., SUITE 115C, SHAWNEE, KS 66216
(913) 283-7725
(913) 422-8858
Mailing address
12616 W 62ND TERR., SUITE 115C, SHAWNEE, KS 66216
(913) 283-7725
(913) 422-8858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
16.12180
KS
Other
Enumeration date
03/06/2012
Last updated
11/19/2015
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