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John J Waddell, MD
Diagnostic Radiology Physician in Jefferson City, Missouri
NPI 1497735724

John J Waddell is a Diagnostic Radiology Physician based in Columbia, MO and is specialized in Diagnostic Radiology. John J Waddell practices in Jefferson City, MO and has the professional credentials of MD. The NPI Number for John J Waddell is 1497735724 and holds a License No. R5P32 (Missouri).

The current practice location address for John J Waddell is 1125 Madison St, Jefferson City, MO and can be reached out via phone at 573-632-5265 and via fax at 573-632-5948. You can also correspond with John J Waddell through the mailing address at PO BOX 7687, COLUMBIA, MO - 65205-7687 (mailing address contact number: 573-882-2259).

Location: 1125 Madison St, Jefferson City, MO, 65205-7687
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Provider Profile Details
NPI Number
1497735724
Provider Name
John J Waddell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1125 Madison St, Jefferson City, MO, 65205-7687
Phone Number
573-632-5265
Fax Number
573-632-5948
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3239466B 01 KS RAILROAD MEDICARE- INDIV
CI2562 01 KS RAILROAD MEDICARE- GROUP
CI3618 01 MO RAILROAD MEDICARE- GROUP
792000001 01 MO TPAN CMS
3239466A 01 MO RAILROAD MEDICARE-INDIV
208691345 05 MO
institution
Provider Business Practice Location Address Details
Address
1125 Madison St
City
State
Zip
65101-5227
Phone Number
573-632-5265
Fax Number
573-632-5948
person
Provider Business Mailing Address Details
Address
Po Box 7687
City
State
Zip
65205-7687
Phone Number
573-882-2259
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
R5P32 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
R5P32 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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