| Doctor Name: | DR. CLARK DAVID WIGINTON |
| NPI Number: | 1043414642 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | BP1-0022835 |
| Business Practice Address: | 401 Cypress St Suite 110 Abilene, TX - 796015122 |
| Business Phone Number: | 3256772201 |
| Business Fax Number: | 3256777641 |
| Mailing Address: | Po Box 2898, ABILENE |
| State: | TX |
| Postal Code: | 796042898 |
| Phone Number: | 3256772201 |
| Fax Number: | 3256777641 |
| NPI Enumeration Date: | 06/14/2007 |
| NPI Last Update Date: | 03/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | BP1-0022835 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |