Waggoner & Waggoner DC LLC

NPI #1407384084 in Lagrange, Indiana

Provider Information

NPI Number: 1407384084
Entity Type: Organization
Organization Name: Waggoner & Waggoner DC LLC
Primary Specialty: Chiropractor
Enumeration Date: May 26, 2017
Last Updated: Jun 13, 2017

Practice Location

Address: 400 UNION ST
City: Lagrange
State: Indiana
ZIP Code: 46761
Phone: (260) 499-4911

Authorized Official

Name: DR. CHASE DANIEL WAGGONER, D.C.
Title: PRESIDENT
Phone: (260) 499-4911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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