Michael Waggoner Od Pa is a Health Maintenance Organization based in Fayetteville, AR. Michael Waggoner Od Pa practices in Fayetteville, AR. The NPI Number for Michael Waggoner Od Pa is 1992021190 and holds a License No. 2411 (Arkansas).
The current practice location address for Michael Waggoner Od Pa is 2630 E Citizens Dr Ste 6, Fayetteville, AR and can be reached out via phone at 479-582-1212 and via fax at 479-582-2070.
Identifier | Type | State | Issuer |
---|---|---|---|
1639185341 | 01 | AR | NPI |
5G500 | 01 | AR | MEDICARE GROUP PTAN |
127297722 | 05 | AR | |
1992021190 | 01 | AR | GROUP NPI |
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