Individual
DR. THOMAS WIGBOLDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3101
Mailing address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102203695
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090964
—
IL
Enumeration date
08/03/2005
Last updated
05/04/2017
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