Individual
DR. ALAN SCOTT WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3030 N ROCK RD, WICHITA, KS 67226-1309
(316) 636-2568
Mailing address
3030 N ROCK RD, WICHITA, KS 67226-1309
(316) 636-2568
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1854
KS
Other
Enumeration date
09/09/2009
Last updated
09/21/2009
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