Mark D. Wigod, Md, PA

NPI #1679751770 in Meridian, Idaho

Provider Information

NPI Number: 1679751770
Entity Type: Organization
Organization Name: Mark D. Wigod, Md, PA
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Enumeration Date: Jan 31, 2008
Last Updated: Jan 31, 2008

Practice Location

Address: 3630 E LOUISE DR
City: Meridian
State: Idaho
ZIP Code: 83642-7975
Phone: (208) 377-9515

Authorized Official

Name: DR. MARK DAVID WIGOD, MD
Title: PRESIDENT
Phone: (208) 377-9515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary

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Rebecca D Shaw, CFA	Surgery - Plastic and Reconstructive Surgery	Meridian	AI Deep Dive
DR. Mark David Wigod, MD	Surgery - Plastic and Reconstructive Surgery	Meridian	AI Deep Dive
DR. Russell Hugh Griffiths, MD	Surgery - Plastic and Reconstructive Surgery	Boise	AI Deep Dive

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Jarrell Plastic Surgery	Surgery - Plastic and Reconstructive Surgery	Meridian	AI Deep Dive
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