Individual
STEPHEN ANDREW WIGGINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
709 E ANAHEIM ST, LONG BEACH, CA 90813-3507
(562) 591-7700
(562) 591-1311
Mailing address
709 E ANAHEIM ST, LONG BEACH, CA 90813-3507
(562) 859-7700
(562) 591-1311
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A62061
CA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
A62061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102092703
—
TX
05
—
CB293424
—
CA
Enumeration date
06/27/2005
Last updated
04/03/2018
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