Mark D. Wigod, Md, Pa
LBN: Mark D. Wigod, Md, Pa
Mark D. Wigod, Md, Pa is an health care organization with primary practice located at 3630 E Louise Dr , Meridian ID 83642-7975. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty.
Mark D. Wigod, Md, Pa can be contacted via phone (208) 377-9515, or through Wigod, Mark David via phone (208) 377-9515.
Contact Information
Primary practice address
3630 E Louise Dr
Meridian ID 83642-7975
Phone: (208) 377-9515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | M8189 | Idaho |
Profile Details
| NPI number | 1679751770 |
|---|---|
| LBN Legal business name | Mark D. Wigod, Md, Pa |
| DBA Doing business as | |
| Authorized official | Wigod, Mark David Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2008 |
| Last updated | Jan 31st, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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