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Contact Information

ROBERT V WIGGINS
825 SE BISHOP BLVD
SUITE 130
PULLMAN, WA99163-5517
 Phone: 509-334-5876
 Fax: 509-332-8793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ROBERT V WIGGINS · (Male)

NPI Number 1184716144
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD00025460
  • ID Medicaid 003289500
  • WA Medicaid 1046598
  • Other 0007539 LABOR AND INDUSTRIES
  • Other 911408453 PREMERA BLUE CROSS
  • Other 911408453 UNITED HEALTHCARE
  • ID Other DEHV6 BLUE CROSS OF ID
  • ID Other 000010004066 BLUE SHIELD OF ID
  • WA Other 8912267 CVCP
  • WA Other 911408453 FIRST CHOICE
  • WA Other 911408453 GROUP HEALTH
  • WA Other 911408453 MOLINA HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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