DAVID LYNN WIGGINTON

JOPLIN, MO
NPI1912247156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2016013997)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: CA  PA22840)
363AS0400X Physician Assistant, Surgical
(Licence: CA  PA22840)
Enumeration Date2013-02-26
Last Update Date2017-06-08
Business Address
-- DAVID LYNN WIGGINTON PA-C
3105 MCCLELLAND BLVD.
JOPLIN, MO 64804
Phone number: 417-347-5400
Mailing Address
-- DAVID LYNN WIGGINTON PA-C
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone number: 615-778-8522