Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Thomas Bryan Wiggins Jr., CSA

Individual provider Surgical Physician Assistant · NPI 1184647034

Mr. Thomas Bryan Wiggins Jr., CSA is a Surgical Physician Assistant in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
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Practice location Address checks out

4320 E Presidio St #101
Mesa, AZ 85215-1165
Phone: (480) 706-9430
Fax: (480) 461-1785
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Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1453 (AZ)

Record details

NPI number1184647034
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedJuly 25, 2006
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021

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