MARK D. WIGOD, MD, PA is a plastic and reconstructive surgery surgery in Meridian, ID. The provider is a surgeon who specializes in plastic and reconstructive surgery. MARK D. WIGOD, MD, PA NPI is 1679751770. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3630 E LOUISE DR
MERIDIAN, ID
ZIP 83642-975
Phone: (208) 377-9515
The provider's authorized official is Mark David Wigod .
The authorized official title is President and has the following contact phone number (208) 377-9515.
The enumeration date for this NPI number is 1/31/2008 and was last updated on 1/31/2008.