Joshua Wigdahl, PA-C

NPI #1457729097 in Derby, Kansas

Provider Information

NPI Number: 1457729097
Entity Type: Individual
Name: Joshua Wigdahl, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 14, 2015
Last Updated: Sep 14, 2015

Practice Location

Address: 606 N MULBERRY RD
City: Derby
State: Kansas
ZIP Code: 67037-3532
Phone: (316) 788-3787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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