MR. Richard Adam Waggoner, PHYSICIAN ASSISTANT
NPI #1548242514 in Wpafb, Ohio
Provider Information
- NPI Number
- 1548242514
- Entity Type
- Individual
- Name
- MR. Richard Adam Waggoner, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Nov 16, 2005
- Last Updated
- Aug 16, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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