Individual
ANTHONY JASON WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 CIVIC CENTER DR STE 200, SAN RAFAEL, CA 94903-5232
(415) 925-8693
Mailing address
500 PARNASSUS AVENUE, MU 320 WEST, SAN FRANCISCO, CA 94143-2203
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A179085
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/25/2019
Last updated
06/18/2025
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