DR. Derek Waggoner, PHD

NPI #1336877042 in Miami, Florida

Provider Information

NPI Number: 1336877042
Entity Type: Individual
Name: DR. Derek Waggoner, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Pathology - Clinical Laboratory Director, Non-physician
Credential: PHD
Enumeration Date: Aug 10, 2022
Last Updated: Aug 10, 2022

Practice Location

Address: 1400 NW 12TH AVE STE 4065
City: Miami
State: Florida
ZIP Code: 33136-1003
Phone: (305) 243-6952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Pathology - Clinical Laboratory Director, Non-physician — Clinical Laboratory Director, Non-physician	247ZC0005X	Primary

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