Individual
DR. ROBERT VERNE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 SE BISHOP BLVD, SUITE 130, PULLMAN, WA 99163-5517
(509) 334-5876
(509) 332-8793
Mailing address
825 SE BISHOP BLVD, SUITE 130, PULLMAN, WA 99163-5517
(509) 334-5876
(509) 332-8793
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
MD00025460
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010004066
BLUE SHIELD OF ID
ID
01
—
0007539
LABOR AND INDUSTRIES
—
05
—
003289500
—
ID
05
—
1046598
—
WA
01
—
8912267
CVCP
WA
01
—
911408453
GROUP HEALTH
WA
01
—
911408453
PREMERA BLUE CROSS
—
01
—
DEHV6
BLUE CROSS OF ID
ID
Enumeration date
09/28/2006
Last updated
07/08/2007
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