DR. Mark David Wigod, MD is a plastic and reconstructive surgery surgery in Meridian, ID. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Mark David Wigod, MD NPI is 1427086164. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3630 E LOUISE DRIVE
MERIDIAN, ID
ZIP 83642
Phone: (208) 377-9515
Fax: (208) 377-9517
The NPI 1427086164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/29/2006 and was last updated on 7/8/2007.