Individual
MR. HIRAM BENJAMIN WIGANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
3820 CRESTWOOD LN, IDAHO FALLS, ID 83404-4979
(385) 432-6600
(801) 405-7710
Mailing address
2485 S 1296 W, NIBLEY, UT 84321-5865
(208) 709-9480
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
13833758-4901
UT
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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