DR. Jon Anthony Wagnon, D.O.

NPI #1265623268 in Godfrey, Illinois

Provider Information

NPI Number: 1265623268
Entity Type: Individual
Name: DR. Jon Anthony Wagnon, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Aug 5, 2007
Last Updated: May 14, 2025

Practice Location

Address: 1368 DADRIAN PROFESSIONAL PARK
City: Godfrey
State: Illinois
ZIP Code: 62035-1685
Phone: (618) 433-9701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Emergency Medicine	207P00000X	Primary

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