Individual
DONNELL WIGFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12625 HESPERIA RD, VICTORVILLE, CA 92395-7720
(760) 995-8300
(760) 955-2356
Mailing address
1233 HARVARD AVE, CLAREMONT, CA 91711-3819
(909) 762-6625
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20A11625
CA
Other
Enumeration date
04/23/2008
Last updated
12/30/2024
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