Provider Demographics
NPI:1114028701
Name:WIGINGTON, WILLIAM C (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:WIGINGTON
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Gender:M
Credentials:DO
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Mailing Address - Street 1:2708 RIFE MEDICAL LANE #300
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1452
Mailing Address - Country:US
Mailing Address - Phone:479-338-3030
Mailing Address - Fax:479-338-3079
Practice Address - Street 1:2708 RIFE MEDICAL LN #300
Practice Address - Street 2:SUITE 300
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1452
Practice Address - Country:US
Practice Address - Phone:479-338-3030
Practice Address - Fax:479-338-3079
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2010-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-6743207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology