1992021190 MICHAEL WAGGONER OD PA
Health Maintenance Organization
Active
Basic Information
- Organization Name
- MICHAEL WAGGONER OD PA
- Enumeration Date
- April 13, 2010
- Last Update
- August 12, 2015
- Authorized Official
- MICHAEL WAGGONER
OWNER
Phone: (479) 582-1212
Practice Location
- Address
- 2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 727034797 - Phone
- (479) 582-1212
- Fax
- (479) 582-2070
Mailing Address
- Address
- 2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 727034797 - Phone
- (479) 582-1212
- Fax
- (479) 582-2070
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Health Maintenance Organization | 2411 | AR | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639185341 | 01 | AR | NPI |
| 5G500 | 01 | AR | MEDICARE GROUP PTAN |
| 127297722 | 05 | AR | N/A |
| 1992021190 | 01 | AR | GROUP NPI |
Frequently Asked Questions
What is MICHAEL WAGGONER OD PA's NPI number?
MICHAEL WAGGONER OD PA's NPI number is 1992021190.
Which doctor has NPI number 1992021190?
The doctor with NPI number 1992021190 is MICHAEL WAGGONER OD PA.
What is MICHAEL WAGGONER OD PA's practice address?
MICHAEL WAGGONER OD PA's practice address is 2630 E CITIZENS DR STE 6, FAYETTEVILLE, AR, 727034797.
Which doctor practices at 2630 E CITIZENS DR STE 6, FAYETTEVILLE, AR, 727034797?
MICHAEL WAGGONER OD PA practices at 2630 E CITIZENS DR STE 6, FAYETTEVILLE, AR, 727034797.
What is MICHAEL WAGGONER OD PA's phone number?
MICHAEL WAGGONER OD PA's phone number is (479) 582-1212.
Who is (479) 582-1212?
(479) 582-1212 is the phone number for MICHAEL WAGGONER OD PA.
What is MICHAEL WAGGONER OD PA's specialty?
MICHAEL WAGGONER OD PA's specialty is Health Maintenance Organization.
What type of doctor is MICHAEL WAGGONER OD PA?
MICHAEL WAGGONER OD PA is a Health Maintenance Organization.
Is MICHAEL WAGGONER OD PA a Health Maintenance Organization?
Yes, MICHAEL WAGGONER OD PA is a Health Maintenance Organization.
Is MICHAEL WAGGONER OD PA still practicing?
Yes, MICHAEL WAGGONER OD PA is currently practicing.
Is MICHAEL WAGGONER OD PA accepting new patients?
MICHAEL WAGGONER OD PA may be accepting new patients. Please call their office at (479) 582-1212 to inquire about availability.
Is NPI 1992021190 still active?
Yes, NPI 1992021190 is currently active.
Where does MICHAEL WAGGONER OD PA practice?
MICHAEL WAGGONER OD PA practices in FAYETTEVILLE, AR.