DR. Evan Jonathon Wagoner, DC
NPI #1710507488 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1710507488
- Entity Type
- Individual
- Name
- DR. Evan Jonathon Wagoner, DC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- DC
- Enumeration Date
- Apr 22, 2020
- Last Updated
- Oct 26, 2021
Practice Location
- Address
- 1408 WOODLAND HILLS TRL
- Address 2
- APT 204
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-1778
- Phone
- (260) 573-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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