Individual
EUGENE O WIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 MADISON ST STE 355, DENVER, CO 80206-5429
(303) 377-2020
Mailing address
55 MADISON ST STE 355, DENVER, CO 80206-5429
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13970
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13970
LICENSE
CO
Enumeration date
06/20/2006
Last updated
07/08/2007
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