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NPI Code Detail

MEDICARE: DAVID L. WIGTON D.C. INC

MEDICARE: DAVID L. WIGTON D.C. INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center1015OH

General Provider Information

NPI Number : 1720320674
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID L. WIGTON D.C. INC
Provider Business Mailing Address
First Line : 922 E COLUMBUS ST
Second Line :
City : KENTON
State : OH
Zip : 43326-1683
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 922 E COLUMBUS ST
Second Line :
City : KENTON
State : OH
Zip : 43326-1683
Country : US
Telephone Number : 419-673-3111
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DAVID WIGTON
Credential : D.C.
Telephone Number : 419-673-3111
Provider Enumeration Date : 03/19/2013
Last Update Date : 03/19/2013

Similar Medicare Providers

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Practice Location Address:
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Directions to “DAVID L. WIGTON D.C. INC ” Practice Location

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