Beverly L Waddleton, DO

NPI #1629004684 in Quitman, Texas

Provider Information

NPI Number: 1629004684
Entity Type: Individual
Name: Beverly L Waddleton, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 23, 2006
Last Updated: Jun 3, 2011

Practice Location

Address: 108 PARKER ST
Address 2: STE.300
City: Quitman
State: Texas
ZIP Code: 75783-2102
Phone: (903) 763-6220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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