; NPI #1386392108

Contact Information

ROMONA A WIGG

2895 MENDENHALL LOOP RD SPC 68
JUNEAU, AK 99801-7417

Phone: 907-209-6860
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Private Vehicle	347C00000X

Indicates primary specialty

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NPI Profile & details for

NPI # 1386392108

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 03/10/2022

Last updated 03/10/2022 - About 4 years ago

Identifiers

License #

0721014

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Private Vehicle

NPI Profile & details for

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