Jay Frederick Wagoner, D.C.
NPI #1952709693 in State College, Pennsylvania
Provider Information
- NPI Number
- 1952709693
- Entity Type
- Individual
- Name
- Jay Frederick Wagoner, D.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Dec 11, 2014
- Last Updated
- Feb 28, 2017
Practice Location
- Address
- 454 ROLLING RIDGE DR
- Address 2
- SUITE 4
- City
- State College
- State
- Pennsylvania
- ZIP Code
- 16801-7696
- Phone
- (814) 954-4182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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