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Dr. Brian Leo Waggoner, MD
Pediatrics Physician in Clive, Iowa
NPI 1679544548

Brian Leo Waggoner is a Pediatrics Physician based in Clive, IA. Brian Leo Waggoner practices in Clive, IA and has the professional credentials of MD. The NPI Number for Brian Leo Waggoner is 1679544548 and holds a License No. 28129 (Iowa).

The current practice location address for Brian Leo Waggoner is 2555 Berkshire Pkwy Ste A, Clive, IA and can be reached out via phone at 515-987-0051 and via fax at 515-987-0054.

Location: 2555 Berkshire Pkwy Ste A, Clive, IA, 50325-4646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679544548
Provider Name
Brian Leo Waggoner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2555 Berkshire Pkwy Ste A, Clive, IA, 50325-4646
Phone Number
515-987-0051
Fax Number
515-987-0054
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47500 01 IA BCBS
03583 01 IA BCBS
0071670 05 IA
institution
Provider Business Practice Location Address Details
Address
2555 Berkshire Pkwy Ste A
City
Clive
State
Iowa
Zip
50325-4646
Phone Number
515-987-0051
Fax Number
515-987-0054
person
Provider Business Mailing Address Details
Address
2555 Berkshire Pkwy Ste A
City
Clive
State
Iowa
Zip
50325-4646
Phone Number
515-987-0051
Fax Number
515-987-0054
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
28129 (Iowa)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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