Individual
SHELBY PATTI WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3000
Mailing address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
208D00000X
General Practice Physician
Primary
1487403739
NE
Other
Enumeration date
05/17/2024
Last updated
01/15/2026
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