Wagoner Medical Group PC
NPI #1013964162 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1013964162
- Entity Type
- Organization
- Organization Name
- Wagoner Medical Group PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 27, 2006
- Last Updated
- Feb 15, 2008
Practice Location
- Address
- 800 N ALPHA ST
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-4320
- Phone
- (308) 382-2010
Authorized Official
- Name
- MRS. JODY M HUGHES, RN
- Title
- OFFICE MANAGER
- Phone
- (308) 382-2010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
| Internal Medicine |
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