Individual
MR. CRAIG ANGELO WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
9305 W THOMAS RD STE 305, PHOENIX, AZ 85037-3366
(623) 478-8000
(623) 478-8003
Mailing address
4801 E MCDOWELL RD STE 150, PHOENIX, AZ 85008-7725
(602) 954-3919
(602) 954-3670
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
AP4898
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP4898
AZ
Other
Enumeration date
04/17/2013
Last updated
12/08/2023
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