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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS MALLORI JANE WAGONER

Active Sole Proprietor

MISS MALLORI JANE WAGONER is a Foot & Ankle Surgery healthcare provider located in COUNCIL BLUFFS, Iowa. NPI 1033003116 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · COUNCIL BLUFFS, IA

Registration Details

NPI Number
1033003116
Provider Type
Individual
Gender
Female
NPI Issued
Jun 4, 2025 (1.1820826587383 yrs)
Last Updated
Jun 4, 2025
Sole Proprietor
Yes

Practice Information

Address
2724 AVENUE B
COUNCIL BLUFFS, IA, 515012106
Browse IA providers · Browse ZIP 51501
Phone
4026792834
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in COUNCIL BLUFFS, IA

Name Credential NPI
LAVAUGHN WELLS 1952013419
SUSANAH GREGORY 1578360814
CHYLYNN NELSON 1457158669
CASSANDRA CURRY 1407653231
SHYLO LYNN THOMAS 1003615949
KALLEE R GRAHAM 1033919634
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.