Phil Waggoner
NPI #1871651422 in Lewiston, Idaho
Provider Information
- NPI Number
- 1871651422
- Entity Type
- Organization
- Organization Name
- Phil Waggoner
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. DANA K BOYD
- Title
- BUSINESS OFC MANAGER OWNER
- Phone
- (208) 746-4097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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