DR. Carl Waggoner, MD

NPI #1043218068 in Newark, Ohio

Provider Information

NPI Number: 1043218068
Entity Type: Individual
Name: DR. Carl Waggoner, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 13, 2005
Last Updated: Jun 21, 2010

Practice Location

Address: 1272 W MAIN ST
Address 2: BLDG. 5
City: Newark
State: Ohio
ZIP Code: 43055-2034
Phone: (740) 348-1788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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