Individual
RYAN WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21001 N TATUM BLVD STE 74-1570, PHOENIX, AZ 85050-5228
(480) 538-9811
(480) 538-9809
Mailing address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2654
(480) 961-1865
(480) 961-4605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1626
AZ
152W00000X
Optometrist
952
NV
Other
Enumeration date
07/21/2008
Last updated
03/17/2018
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