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Individual

DR. THOMAS T WIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1397 S LOOP RD, PAHRUMP, NV 89048
(775) 727-5500
(775) 727-5696
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15537
NV
207Q00000X
Family Medicine Physician
4384
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356413405
NV
01
15537
STATE LICENSE
NV
05
MD43641
AK
Enumeration date
11/14/2006
Last updated
03/07/2023
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