Individual
MRS. NICOLE M WIGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
155 W CANYON CREST RD STE 200, ALPINE, UT 84004-1966
(801) 763-9851
Mailing address
857 BRADDOCK LN, ALPINE, UT 84004-1967
(801) 216-4440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7607471-1206
UT
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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