person
Clinton Waggoner, MD
Diagnostic Radiology Physician in Pensacola, Florida
NPI 1235344011

Clinton Waggoner is a Diagnostic Radiology Physician based in Pensacola, FL and is specialized in Diagnostic Radiology. Clinton Waggoner practices in Pensacola, FL and has the professional credentials of MD. The NPI Number for Clinton Waggoner is 1235344011 and holds a License No. 26192 (Florida).

The current practice location address for Clinton Waggoner is 5151 N 9Th Ave, Pensacola, FL and can be reached out via phone at 850-476-8602 and via fax at 850-474-3518.

Location: 5151 N 9Th Ave, Pensacola, FL, 32513-9210
person
Provider Profile Details
NPI Number
1235344011
Provider Name
Clinton Waggoner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5151 N 9Th Ave, Pensacola, FL, 32513-9210
Phone Number
850-476-8602
Fax Number
850-474-3518
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110982 05 AL
111222 05 AL
51599270 01 AL BCBS
007825700 05 FL
111237 05 AL
51599265 01 AL BCBS
51599269 01 AL BCBS
111224 05 AL
111236 05 AL
145235 05 AL
14P2L 01 FL BCBS OF FLORIDA
51067334 01 AL BCBS
51599271 01 AL BCBS
51599266 01 AL BCBS
51599267 01 AL BCBS
592-19398 01 FL BCBS OF ALABAMA
P01133899 01 FL RAILROAD MEDICARE
111238 05 AL
institution
Provider Business Practice Location Address Details
Address
5151 N 9Th Ave
City
State
Zip
32504-8721
Phone Number
850-476-8602
Fax Number
850-474-3518
person
Provider Business Mailing Address Details
Address
5151 N 9Th Ave
City
State
Zip
32504-8721
Phone Number
850-476-8602
Fax Number
850-474-3518
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
26192 (Alabama)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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