Individual
DR. TERRY LEE WIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N 14TH AVE, SUITE 350, PASCO, WA 99301
(509) 545-4800
(509) 545-4861
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00035873
WA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD00035873
WA
207YX0602X
Otolaryngic Allergy Physician
MD00035873
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041577
—
WA
Enumeration date
08/11/2005
Last updated
03/05/2021
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